DOMINIC A ANTICO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085293

License Status

INACTIVE

Business

First Name

DOMINIC A

Last Name

ANTICO

Suffix

Business Name

DOMINIC A ANTICO MD

Original Issue Date

09/10/1992

Effective Date

09/10/1992

Expiration Date

07/31/1993

City

WEXFORD

State

Zip

15090

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006