NEIL PETER SUPERFON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039748

License Status

INACTIVE

Business

First Name

NEIL PETER

Last Name

SUPERFON

Suffix

Business Name

NEIL PETER SUPERFON DO

Original Issue Date

06/23/1965

Effective Date

06/23/1965

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85015

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006