License holder summary

MAXIMO ABLAZA ICASIANO is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MAXIMO ABLAZA ICASIANO is CARNEYS POINT NJ 08069. This medical practitioner license is not current. The license was granted 01/11/1973 and expired on 12/31/1992.

Department of State

Board of Medicine

MAXIMO ABLAZA ICASIANO
Medical Physician And Surgeon
License number
MD033986L
Date granted
01/11/1973
Date expires
12/31/1992
Class
Medical Physician And Surgeon
Status
Inactive
Address
CARNEYS POINT NJ 08069
medicinepa.com
ID 37624506
LAST UPDATED 2026-06-02 20:19:53 UTC

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