MARCELLO VINCENT GINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

MARCELLO VINCENT

Last Name

GINO

Suffix

Business Name

MARCELLO VINCENT GINO MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NEW BUFFALO

State

Zip

49117

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006