License holder summary

ANNETTE MARIE LACIVITA is a Medical Board - 33.Lmt L M Group licensed to practice in Ohio. The address on file for ANNETTE MARIE LACIVITA is 15 Southmoor Circle N.E., KETTERING, OH 45429. This licensed professional license is current. The license was granted 01/17/2000 and expired on 07/01/2016.

Ohio

Board of Licensing

ANNETTE MARIE LACIVITA
Medical Board - 33.Lmt L M Group
License number
33.009200-L-M
Date granted
01/17/2000
Date expires
07/01/2016
Class
Medical Board - 33.Lmt L M Group
Status
Active
Address
15 Southmoor Circle N.E., KETTERING, OH 45429
ohiolicensing.org
ID 28410527
LAST UPDATED 2024-03-07 22:47:18 UTC

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