JAY M DAITCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051847

License Status

NOT RENEWED

Business

First Name

JAY M

Last Name

DAITCH

Suffix

Business Name

JAY M DAITCH MD

Original Issue Date

09/12/1975

Effective Date

09/12/1975

City

ANN ARBOR

State

Zip

48104

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006