DANIEL SPONG MASSI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122588

License Status

INACTIVE

Business

First Name

DANIEL

Middle

SPONG

Last Name

MASSI

Suffix

Business Name

DANIEL SPONG MASSI MD

Original Issue Date

02/06/2009

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CHARLESTON

State

Zip

29401

Ever Disciplined

LastModifiedDate

05/01/2015