TODD PHILIP GINESTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094804

License Status

NOT RENEWED

Business

First Name

TODD PHILIP

Last Name

GINESTRA

Suffix

Business Name

TODD PHILIP GINESTRA MD

Original Issue Date

02/15/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PADUCAH

State

Zip

42003

Ever Disciplined

LastModifiedDate

11/06/2008