MARCONI R DELADISMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047841

License Status

NOT RENEWED

Business

First Name

MARCONI R

Last Name

DELADISMA

Suffix

Business Name

MARCONI R DELADISMA MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1990

City

SLINGERLANDS

State

Zip

12159

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006