GIANCARLO BAROLAT ROMANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065587

License Status

NOT RENEWED

Business

First Name

GIANCARLO

Last Name

BAROLAT ROMANA

Suffix

Business Name

GIANCARLO BAROLAT ROMANA MD

Original Issue Date

10/29/1982

Effective Date

10/29/1982

Expiration Date

07/31/1987

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006