MICHAEL DOUGLAS MICHENER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114135

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

MICHENER

Suffix

Business Name

MICHAEL DOUGLAS MICHENER MD

Original Issue Date

07/07/2005

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

EAGLE RIVER

State

Zip

99577

Ever Disciplined

LastModifiedDate

11/17/2014