DANIEL GUSTAVE DISANDRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168923

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

GUSTAVE

Last Name

DISANDRO

Business Name

DANIEL GUSTAVE DISANDRO MD

Original Issue Date

02/23/2024

Effective Date

02/23/2024

Expiration Date

07/31/2026

City

MOUNT LAUREL

State

Zip

08054

Ever Disciplined

LastModifiedDate

02/23/2024