HOWARD MICHAEL ADDIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042864

License Status

NOT RENEWED

Business

First Name

HOWARD MICHAEL

Last Name

ADDIS

Suffix

Business Name

HOWARD MICHAEL ADDIS MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

SOUTH BEND

State

Zip

46615

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006