MICHAEL IV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162831

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

Business Name

MICHAEL IV MD

Original Issue Date

11/04/2022

Effective Date

11/04/2022

Expiration Date

07/31/2023

City

LOS ALTOS

State

Zip

94022

Ever Disciplined

LastModifiedDate

11/30/2023