MARY CAROLINE RODRIGUEZ ZICCARDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001138

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

CAROLINE

Last Name

RODRIGUEZ ZICCARDI

Business Name

MARY CAROLINE RODRIGUEZ ZICCARDI MD

Original Issue Date

01/03/2017

Effective Date

01/03/2017

Expiration Date

02/02/2017

City

PHILADELPHIA

State

Zip

19130

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2017