MICHAEL T ROUTSONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137136

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

ROUTSONG

Business Name

MICHAEL T ROUTSONG MD

Original Issue Date

01/21/2015

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

11/30/2023