ANTONIO ALBERT VERSACI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040357

License Status

INACTIVE

Business

First Name

ANTONIO ALBERT

Last Name

VERSACI

Suffix

Business Name

ANTONIO ALBERT VERSACI MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

Expiration Date

07/31/1987

City

SCHENECTADY

State

Zip

12309

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006