DAVID PHILIP DALZELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113110

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

PHILIP

Last Name

DALZELL

Business Name

DAVID PHILIP DALZELL MD

Original Issue Date

02/22/2005

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

KAHULUI

State

Zip

96732

County

HAWAII

Ever Disciplined

LastModifiedDate

01/14/2021