ETTORE DI MICELI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067778

License Status

INACTIVE

Business

First Name

ETTORE

Last Name

DI MICELI

Suffix

Business Name

ETTORE DI MICELI MD

Original Issue Date

10/13/1983

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SOUTHPORT

State

Zip

28461

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/07/2011