BETH A MASCIO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103865

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

MASCIO

Suffix

Business Name

BETH A MASCIO MD

Original Issue Date

11/29/2000

Effective Date

11/29/2000

Expiration Date

07/31/2005

City

PHILADELPHIA

State

Zip

19106

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006