MICHELE TERESE SPROVIERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104887

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

TERESE

Last Name

SPROVIERO

Suffix

Business Name

MICHELE TERESE SPROVIERO MD

Original Issue Date

06/01/2001

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

GOODYEAR

State

Zip

85395

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/14/2021