MIRIAM D PELLERITO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118503

License Status

INACTIVE

Business

First Name

MIRIAM

Middle

Last Name

PELLERITO

Suffix

Business Name

MIRIAM D PELLERITO MD

Original Issue Date

05/29/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WASHINGTON

State

Zip

48094

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/07/2011