DALE WARREN SPONAUGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131361

License Status

NOT RENEWED

Business

Title

First Name

DALE

Middle

WARREN

Last Name

SPONAUGLE

Business Name

DALE WARREN SPONAUGLE MD

Original Issue Date

09/12/2012

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

EAST AMHERST

State

Zip

14051

Ever Disciplined

LastModifiedDate

11/30/2023