RANDAL P DEFELICE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073504

License Status

INACTIVE

Business

First Name

RANDAL P

Last Name

DEFELICE

Suffix

Business Name

RANDAL P DEFELICE MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1990

City

SPOKANE

State

Zip

99205

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006