MARK JOSEPH GIOVANELLI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129608

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

JOSEPH

Last Name

GIOVANELLI

Business Name

MARK JOSEPH GIOVANELLI DO

Original Issue Date

02/14/2012

Effective Date

02/14/2012

Expiration Date

07/31/2014

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

11/17/2014