ANDREA NICOLE GIAMALVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058449

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

NICOLE

Last Name

GIAMALVA

Business Name

ANDREA NICOLE GIAMALVA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013