ELAINE BACCI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081423

License Status

NOT RENEWED

Business

First Name

ELAINE

Last Name

BACCI

Suffix

Business Name

ELAINE BACCI DO

Original Issue Date

08/29/1990

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

REDBANK

State

Zip

07701

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/01/2017