JOSEPHINE ANGELA MINNICINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079025

License Status

CANCELLED

Business

Title

First Name

JOSEPHINE

Middle

ANGELA

Last Name

MINNICINO

Business Name

JOSEPHINE ANGELA MINNICINO MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/12/2021