MARK T MAINELLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106816

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MAINELLA

Suffix

Business Name

MARK T MAINELLA DO

Original Issue Date

04/19/2002

Effective Date

04/19/2002

Expiration Date

07/31/2005

City

PITTSFIELD

State

Zip

01201

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

01/07/2014