DANIEL SCOTT DEFEO DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128014

License Status

INACTIVE

Business

Title

First Name

DANIEL

Middle

SCOTT

Last Name

DEFEO

Business Name

DANIEL SCOTT DEFEO DO

Original Issue Date

06/02/2011

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

HILLSDALE

State

Zip

07642

Ever Disciplined

LastModifiedDate

06/26/2014