MICHELLE T WYATT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087517

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

WYATT

Suffix

Business Name

MICHELLE T WYATT MD

Original Issue Date

10/05/1993

Effective Date

10/05/1993

Expiration Date

07/31/1996

City

CENTRAL POINT

State

Zip

97502

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006