MICHAEL DORAN DEVITA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134814

License Status

INACTIVE

Business

Title

First Name

MICHAEL

Middle

DORAN

Last Name

DEVITA

Business Name

MICHAEL DORAN DEVITA MD

Original Issue Date

03/18/2014

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/11/2017