JOSEPH DAVID MILLERICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046719

License Status

NOT RENEWED

Business

First Name

JOSEPH DAVID

Last Name

MILLERICK

Suffix

Business Name

JOSEPH DAVID MILLERICK MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

WEST HARTFORD

State

Zip

06119

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006