THOMAS ANTHONY PISCITELLI DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121613

License Status

INACTIVE

Business

First Name

THOMAS

Middle

ANTHONY

Last Name

PISCITELLI

Suffix

Business Name

THOMAS ANTHONY PISCITELLI DO

Original Issue Date

07/31/2008

Effective Date

07/31/2008

Expiration Date

07/31/2011

City

ROANOKE

State

Zip

24014

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/07/2011