ROGER ALAN VANATTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041724

License Status

INACTIVE

Business

First Name

ROGER ALAN

Last Name

VANATTA

Suffix

Business Name

ROGER ALAN VANATTA MD

Original Issue Date

07/01/1968

Effective Date

07/03/2008

Expiration Date

07/31/2011

City

PRESCOTT

State

Zip

86303

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/07/2011