MICHAEL ANDREW DEGROOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105783

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANDREW

Last Name

DEGROOT

Suffix

Business Name

MICHAEL ANDREW DEGROOT MD

Original Issue Date

10/26/2001

Effective Date

10/26/2001

Expiration Date

07/31/2002

City

SALT LAKE CITY

State

Zip

84106

Ever Disciplined

LastModifiedDate

05/12/2010

Case Number

2009009645

Action

Reprimand

Discipline Start Date

05/12/2010

Discipline Reason

after being disciplined by the state of Pennsylvania.