ANDRA KAY CICERO DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127667

License Status

INACTIVE

Business

First Name

ANDRA

Middle

KAY

Last Name

CICERO

Suffix

Business Name

ANDRA KAY CICERO DO

Original Issue Date

04/21/2011

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53217

Ever Disciplined

LastModifiedDate

08/22/2011