CAMILLA ANN MICAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060398

License Status

INACTIVE

Business

First Name

CAMILLA ANN

Last Name

MICAN

Suffix

Business Name

CAMILLA ANN MICAN MD

Original Issue Date

06/26/1980

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

PHOENIX

State

Zip

85020

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/12/2017