MIGUEL B DIZON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047851

License Status

INACTIVE

Business

First Name

MIGUEL B

Last Name

DIZON

Suffix

Business Name

MIGUEL B DIZON MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006