MICHAEL J ULISSEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106884

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

ULISSEY

Suffix

Business Name

MICHAEL J ULISSEY MD

Original Issue Date

05/07/2002

Effective Date

05/07/2002

Expiration Date

07/31/2005

City

SEDONA

State

Zip

86336

Ever Disciplined

LastModifiedDate

08/19/2011