JOSEPH DOMINISE GRACIOSA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064555

License Status

INACTIVE

Business

First Name

JOSEPH DOMINISE

Last Name

GRACIOSA

Business Name

JOSEPH DOMINISE GRACIOSA

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1987

City

BURLINGTON

State

Zip

53105

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006