MICHAEL MAURICE BARSOTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052636

License Status

NOT RENEWED

Business

First Name

MICHAEL MAURICE

Last Name

BARSOTTI

Suffix

Business Name

MICHAEL MAURICE BARSOTTI MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006