ROBERT L MITTENDORF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084835

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

MITTENDORF

Suffix

Business Name

ROBERT L MITTENDORF MD

Original Issue Date

07/15/1992

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

MARICOPA

State

Zip

85139

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017