MICHAEL L MOULTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088952

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

MOULTON

Suffix

Business Name

MICHAEL L MOULTON MD

Original Issue Date

07/13/1994

Effective Date

07/13/1994

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/09/2006