RICHARD C PERROTTA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050974

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

PERROTTA

Suffix

Business Name

RICHARD C PERROTTA DO

Original Issue Date

05/06/1975

Effective Date

05/06/1975

City

JACKSON

State

Zip

45203

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006