ELLEN V MICHAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061828

License Status

NOT RENEWED

Business

First Name

ELLEN V

Last Name

MICHAEL

Suffix

Business Name

ELLEN V MICHAEL MD

Original Issue Date

02/27/1981

Effective Date

02/27/1981

Expiration Date

07/31/2005

City

BAINBRIDGE ISLAND

State

Zip

98110

Ever Disciplined

LastModifiedDate

10/09/2006