ANTHONY CHARLES PORRETTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040889

License Status

NOT RENEWED

Business

First Name

ANTHONY CHARLES

Last Name

PORRETTA

Suffix

Business Name

ANTHONY CHARLES PORRETTA MD

Original Issue Date

01/20/1967

Effective Date

01/20/1967

City

DETROIT

State

Zip

48221

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006