License holder summary

TODD SHANE CROCENZI is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for TODD SHANE CROCENZI is Enfield NH 03748. This medical practitioner license is not current. The license was granted 06/30/1997 and expired on 12/31/2004.

Department of State

Board of Medicine

TODD SHANE CROCENZI
Medical Physician And Surgeon
License number
MD062959L
Date granted
06/30/1997
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Inactive
Address
Enfield NH 03748
medicinepa.com
ID 37597880
LAST UPDATED 2026-05-18 08:45:28 UTC

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