MARY DIMICELI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053809

License Status

EXPIRED

Business

Title

First Name

MARY

Last Name

DIMICELI

Business Name

MARY DIMICELI MD

Original Issue Date

07/05/2008

Effective Date

07/05/2008

Expiration Date

07/04/2009

City

MAYWOOD

State

Zip

60153

County

NEW YORK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009