MARZANNA IWONA VASINGTON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117441

License Status

NOT RENEWED

Business

First Name

MARZANNA

Middle

IWONA

Last Name

VASINGTON

Suffix

Business Name

MARZANNA IWONA VASINGTON DO

Original Issue Date

01/11/2007

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

STATEN ISLAND

State

Zip

10305

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017