MICHAEL R MIRWALD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045770

License Status

INACTIVE

Business

First Name

MICHAEL R

Last Name

MIRWALD

Suffix

Business Name

MICHAEL R MIRWALD MD

Original Issue Date

07/01/1972

Effective Date

07/01/1972

Expiration Date

07/31/1987

City

ROCHESTER

State

Zip

14625

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/23/2007