MARCELINO V MEDINA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042070

License Status

INACTIVE

Business

First Name

MARCELINO V

Last Name

MEDINA

Suffix

Business Name

MARCELINO V MEDINA MD

Original Issue Date

08/01/1968

Effective Date

08/01/1968

Expiration Date

07/31/1987

City

NILES

State

Zip

49120

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2010