MICHAEL O MUSTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048975

License Status

NOT RENEWED

Business

First Name

MICHAEL O

Last Name

MUSTY

Suffix

Business Name

MICHAEL O MUSTY MD

Original Issue Date

02/20/1974

Effective Date

02/20/1974

Expiration Date

07/31/1984

City

EAST GULL LAKE

State

Zip

56401

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/08/2011