WALTER MICHAEL PAVLOWICH DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037047

License Status

INACTIVE

Business

First Name

WALTER MICHAEL

Last Name

PAVLOWICH

Suffix

Business Name

WALTER MICHAEL PAVLOWICH DO

Original Issue Date

12/20/1960

Effective Date

12/20/1960

Expiration Date

07/31/1987

City

HUNTINGTON

State

Zip

11743

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006