AUGUSTINE L PERROTTA DO - Medical Doctor License in Michigan | # 036042665

AUGUSTINE L PERROTTA DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042665

License Status

INACTIVE

Business

N

First Name

AUGUSTINE L

Last Name

PERROTTA

Suffix

DO

Business Name

AUGUSTINE L PERROTTA DO

Original Issue Date

07/11/1969

Effective Date

07/11/1969

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006