PHILIP J DITELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048268

License Status

NOT RENEWED

Business

First Name

PHILIP J

Last Name

DITELLA

Suffix

Business Name

PHILIP J DITELLA MD

Original Issue Date

09/19/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MOORESVILLE

State

Zip

28117

Ever Disciplined

LastModifiedDate

11/06/2008

Case Number

2003006626

Action

Fine

Discipline Start Date

01/22/2004