License holder summary

GENNARO MARC POLVERINO is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for GENNARO MARC POLVERINO is Fort Collins CO 80526. This medical practitioner license is not current. The license was granted 06/03/2002 and expired on 06/30/2005.

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 2026-05-05 16:40:16 UTC

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