MICHAEL STEVEN MENNA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154777

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

STEVEN

Last Name

MENNA

Business Name

MICHAEL STEVEN MENNA DO

Original Issue Date

11/16/2020

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

10/08/2024