MICHAEL ELLIOT WITKOSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154257

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ELLIOT

Last Name

WITKOSKY

Business Name

MICHAEL ELLIOT WITKOSKY MD

Original Issue Date

09/12/2020

Effective Date

09/12/2020

Expiration Date

07/31/2023

City

PHOENIX

State

Zip

85018

Ever Disciplined

LastModifiedDate

11/30/2023