ANTHONY R DAMICO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118821

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

Last Name

DAMICO

Suffix

Business Name

ANTHONY R DAMICO MD

Original Issue Date

06/27/2007

Effective Date

06/27/2007

Expiration Date

07/31/2008

City

MISSOULA

State

Zip

59803

Ever Disciplined

LastModifiedDate

04/17/2008