MARY L DISIS MD - Medical Doctor License in Washington | # 036078745

MARY L DISIS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078745

License Status

INACTIVE

Business

N

First Name

MARY L

Last Name

DISIS

Suffix

MD

Business Name

MARY L DISIS MD

Original Issue Date

04/21/1989

Effective Date

04/21/1989

Expiration Date

07/31/1990

State

WA

Ever Disciplined

N

LastModifiedDate

09/20/2006