PRESTON VINE DILTS JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036675

License Status

INACTIVE

Business

First Name

PRESTON VINE

Last Name

DILTS JR

Suffix

Business Name

PRESTON VINE DILTS JR MD

Original Issue Date

09/01/1960

Effective Date

09/01/1960

Expiration Date

07/31/1987

City

ANN ARBOR

State

Zip

48109

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006