MARK A LIVECCHI
Medical Practice at Bosworth Fld, Mendon, NY

License number
Florida 130640
Issued Date
Dec 9, 2016
Effective Date
Dec 9, 2016
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
57 Bosworth Fld, Mendon, NY 14506
944 Arlington Rd N, Jacksonville, FL 32211
Phone
(716) 898-5837
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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MARK A. LIVECCHI, M.D., PC

57 Bosworth Fld, Mendon, NY 14506

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Mar 25, 2004
Inactive since:
May 16, 2007
State ID:
3031298
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Mark Livecchi, M.d, 57 Bosworth Fld, Mendon, NY 14506 (Physical)