Department of State
Board of Medicine
GENNARO MARC POLVERINO
Graduate Medical Trainee
License number
MT180491
Date granted
06/03/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Fort Collins CO 80526
medicinepa.com
ID 37558933
LAST UPDATED 2024-04-23 02:34:42 UTC
LAST UPDATED 2024-04-23 02:34:42 UTC
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