JOSEPH ANTHONY MAGGIONCALDA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116192

License Status

INACTIVE

Business

First Name

JOSEPH

Middle

ANTHONY

Last Name

MAGGIONCALDA

Suffix

Business Name

JOSEPH ANTHONY MAGGIONCALDA MD

Original Issue Date

06/12/2006

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

MYRTLE BEACH

State

Zip

29572

Ever Disciplined

LastModifiedDate

06/22/2014