PATRICK M REIDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111046

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

REIDY

Suffix

Business Name

PATRICK M REIDY MD

Original Issue Date

03/19/2004

Effective Date

03/19/2004

Expiration Date

07/31/2005

City

BERKLEY

State

Zip

48072

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006