License holder summary

JOSEPH E FORMICHELLA JR is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JOSEPH E FORMICHELLA JR is INTRLKN-ASBRY NJ 07712. This medical practitioner license is not current. The license was granted 08/28/1959 and expired on 12/31/1984.

Department of State

Board of Medicine

JOSEPH E FORMICHELLA JR
Medical Physician And Surgeon
License number
MD026663L
Date granted
08/28/1959
Date expires
12/31/1984
Class
Medical Physician And Surgeon
Status
Inactive
Address
INTRLKN-ASBRY NJ 07712
medicinepa.com
ID 37608773
LAST UPDATED 2024-03-09 02:10:23 UTC

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