MICHAEL ROBERT MCCORMICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038235

License Status

NOT RENEWED

Business

First Name

MICHAEL ROBERT

Last Name

MCCORMICK

Suffix

Business Name

MICHAEL ROBERT MCCORMICK MD

Original Issue Date

12/04/1962

Effective Date

12/04/1962

Expiration Date

07/31/1990

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006