ANTONINA S J GESMUNDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064122

License Status

NOT RENEWED

Business

First Name

ANTONINA

Middle

S J

Last Name

GESMUNDO

Suffix

Business Name

ANTONINA S J GESMUNDO MD

Original Issue Date

03/30/1982

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/14/2011