JAIME H CERCONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054465

License Status

NOT RENEWED

Business

First Name

JAIME H

Last Name

CERCONE

Suffix

Business Name

JAIME H CERCONE MD

Original Issue Date

04/14/1977

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

11/01/2017