PETER JOSEPH MASSA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149282

License Status

NOT RENEWED

Business

First Name

PETER

Middle

JOSEPH

Last Name

MASSA

Business Name

PETER JOSEPH MASSA

Original Issue Date

05/03/2019

Effective Date

05/03/2019

Expiration Date

09/30/2020

City

DETROIT

State

Zip

48202

Ever Disciplined

LastModifiedDate

01/14/2021