MICHAEL ETHAN PERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116769

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ETHAN

Last Name

PERSON

Suffix

Business Name

MICHAEL ETHAN PERSON MD

Original Issue Date

08/15/2006

Effective Date

08/15/2006

Expiration Date

07/31/2008

City

INDIANAPOLIS

State

Zip

46260

County

MARION

Ever Disciplined

LastModifiedDate

02/24/2025