MARY L DISIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078745

License Status

INACTIVE

Business

First Name

MARY L

Last Name

DISIS

Suffix

Business Name

MARY L DISIS MD

Original Issue Date

04/21/1989

Effective Date

04/21/1989

Expiration Date

07/31/1990

City

AUBURN

State

Zip

98001

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006