LAURA ANN DECASTOR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097566

License Status

INACTIVE

Business

First Name

LAURA

Middle

ANN

Last Name

DECASTOR

Suffix

Business Name

LAURA ANN DECASTOR MD

Original Issue Date

04/02/1998

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

GROSSE POINTE PARK

State

Zip

48230

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/05/2020