EDWARD DENNIS MAGLIETTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034877

License Status

INACTIVE

Business

First Name

EDWARD DENNIS

Last Name

MAGLIETTA

Suffix

Business Name

EDWARD DENNIS MAGLIETTA MD

Original Issue Date

08/21/1957

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

04/08/2014