LONNIE L AMICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055070

License Status

NOT RENEWED

Business

First Name

LONNIE L

Last Name

AMICO

Suffix

Business Name

LONNIE L AMICO MD

Original Issue Date

07/18/1977

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021