LAVERNE DENNIS GUGINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116519

License Status

NOT RENEWED

Business

First Name

LAVERNE

Middle

DENNIS

Last Name

GUGINO

Suffix

Business Name

LAVERNE DENNIS GUGINO MD

Original Issue Date

07/17/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HUNT VALLEY

State

Zip

21031

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/14/2011