LAURA VITALE ROMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124177

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

VITALE

Last Name

ROMO

Suffix

Business Name

LAURA VITALE ROMO MD

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

07/31/2011

City

MANSFIELD

State

Zip

02048

Ever Disciplined

LastModifiedDate

11/14/2011