MICHAEL WATA LUY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132602

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

WATA

Last Name

LUY

Business Name

MICHAEL WATA LUY MD

Original Issue Date

04/23/2013

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017