MICHAEL THOMAS LAVELLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042734

License Status

NOT RENEWED

Business

First Name

MICHAEL THOMAS

Last Name

LAVELLE

Suffix

Business Name

MICHAEL THOMAS LAVELLE MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

City

VANCOUVER

State

Zip

98664

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006