MIRIAM DANESE SLATTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136253

License Status

NOT RENEWED

Business

Title

First Name

MIRIAM

Middle

DANESE

Last Name

SLATTER

Business Name

MIRIAM DANESE SLATTER MD

Original Issue Date

08/14/2014

Effective Date

08/14/2014

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017