TIZIANO COLIBAZZI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109682

License Status

INACTIVE

Business

First Name

TIZIANO

Last Name

COLIBAZZI

Business Name

TIZIANO COLIBAZZI

Original Issue Date

07/10/2003

Effective Date

07/10/2003

Expiration Date

07/31/2005

City

NEW YORK

State

Zip

10010

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006