DAVIS L DALTON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075303

License Status

NOT RENEWED

Business

First Name

DAVIS L

Last Name

DALTON

Suffix

Business Name

DAVIS L DALTON DO

Original Issue Date

06/27/1987

Effective Date

06/27/1987

Expiration Date

07/31/1990

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006