DALTON LOUIS KINSELLA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056359

License Status

NOT RENEWED

Business

First Name

DALTON LOUIS

Last Name

KINSELLA JR

Suffix

Business Name

DALTON LOUIS KINSELLA JR MD

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

07/31/1990

City

TAMPA

State

Zip

33624

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006