MICHAEL T CICERO DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121617

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

CICERO

Suffix

Business Name

MICHAEL T CICERO DO

Original Issue Date

07/31/2008

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014