DANIEL W DIDOCHA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085364

License Status

NOT RENEWED

Business

First Name

DANIEL W

Last Name

DIDOCHA

Suffix

Business Name

DANIEL W DIDOCHA DO

Original Issue Date

09/17/1992

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

TROY

State

Zip

48098

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014