FRANK J SUPPA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157096

License Status

ACTIVE

Business

Title

First Name

FRANK

Middle

Last Name

SUPPA

Business Name

FRANK J SUPPA DO

Original Issue Date

05/26/2021

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

EAST ROCKAWAY

State

Zip

11518

Ever Disciplined

LastModifiedDate

08/09/2024