MICHAEL EDWARD TRICE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101484

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

TRICE

Suffix

Business Name

MICHAEL EDWARD TRICE MD

Original Issue Date

10/15/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/06/2008