MICHAEL DOUGLAS MICHENER MD - Medical Doctor License in Alaska | # 036114135

MICHAEL DOUGLAS MICHENER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114135

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

DOUGLAS

Last Name

MICHENER

Suffix

MD

Business Name

MICHAEL DOUGLAS MICHENER MD

Original Issue Date

07/07/2005

Effective Date

04/05/2011

Expiration Date

07/31/2014

State

AK

Ever Disciplined

N

LastModifiedDate

11/17/2014