MICHAEL DORAN DEVITA MD - Medical Doctor License in Missouri | # 036134814

MICHAEL DORAN DEVITA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134814

License Status

INACTIVE

Business

N

Title

MD

First Name

MICHAEL

Middle

DORAN

Last Name

DEVITA

Business Name

MICHAEL DORAN DEVITA MD

Original Issue Date

03/18/2014

Effective Date

06/30/2014

Expiration Date

07/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

04/11/2017