GINA MARIE DE GIOVANNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130595

License Status

NOT RENEWED

Business

Title

First Name

GINA

Middle

MARIE

Last Name

DE GIOVANNI

Business Name

GINA MARIE DE GIOVANNI MD

Original Issue Date

06/19/2012

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

PRAIRIE DU SAC

State

Zip

53578

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017