MICHAEL ANDREW SURIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038669

License Status

NOT RENEWED

Business

First Name

MICHAEL ANDREW

Last Name

SURIAN

Suffix

Business Name

MICHAEL ANDREW SURIAN MD

Original Issue Date

09/11/1963

Effective Date

09/11/1963

Expiration Date

07/31/1999

City

BLOOMINGTON

State

Zip

47403

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006