DOROTHY LAZELLE MICHAELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058152

License Status

NOT RENEWED

Business

First Name

DOROTHY LAZELLE

Last Name

MICHAELIS

Suffix

Business Name

DOROTHY LAZELLE MICHAELIS MD

Original Issue Date

11/20/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DULUTH

State

Zip

55812

Ever Disciplined

LastModifiedDate

11/06/2008