GREGORY RICHARD MICKLOW MD - Medical Doctor License in Florida | # 036100064

GREGORY RICHARD MICKLOW MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100064

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

RICHARD

Last Name

MICKLOW

Suffix

MD

Business Name

GREGORY RICHARD MICKLOW MD

Original Issue Date

04/21/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

FL

Ever Disciplined

N

LastModifiedDate

03/25/2009