MICHAEL THOMAS LAVELLE MD - Medical Doctor License in Washington | # 036042734

MICHAEL THOMAS LAVELLE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042734

License Status

NOT RENEWED

Business

N

First Name

MICHAEL THOMAS

Last Name

LAVELLE

Suffix

MD

Business Name

MICHAEL THOMAS LAVELLE MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

State

WA

Ever Disciplined

N

LastModifiedDate

09/20/2006