SARA A DIVALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106063

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

DIVALL

Suffix

Business Name

SARA A DIVALL MD

Original Issue Date

01/09/2002

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

BALTIMORE

State

Zip

21209

County

MARYLAND

Ever Disciplined

LastModifiedDate

07/24/2014