RICHARD MICHAEL PANISH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041102

License Status

INACTIVE

Business

First Name

RICHARD MICHAEL

Last Name

PANISH

Suffix

Business Name

RICHARD MICHAEL PANISH MD

Original Issue Date

07/01/1967

Effective Date

07/01/1967

Expiration Date

07/31/2005

City

CLEARWATER

State

Zip

33767

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006