LOUANNE LANE GIANGRECO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139064

License Status

NOT RENEWED

Business

Title

First Name

LOUANNE

Middle

LANE

Last Name

GIANGRECO

Business Name

LOUANNE LANE GIANGRECO MD

Original Issue Date

09/03/2015

Effective Date

09/03/2015

Expiration Date

07/31/2017

City

DRYDEN

State

Zip

13053

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017