GERALD M MASTIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040936

License Status

NOT RENEWED

Business

First Name

GERALD M

Last Name

MASTIO

Suffix

Business Name

GERALD M MASTIO MD

Original Issue Date

02/16/1967

Effective Date

02/16/1967

Expiration Date

07/31/2005

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/09/2006