SUZANNE MARIE SELVAGGI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094595

License Status

INACTIVE

Business

First Name

SUZANNE

Middle

MARIE

Last Name

SELVAGGI

Suffix

Business Name

SUZANNE MARIE SELVAGGI MD

Original Issue Date

12/09/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FITCHBURG

State

Zip

53711

Ever Disciplined

LastModifiedDate

02/04/2010