RICHARD G MD DAVITO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072283

License Status

INACTIVE

Business

First Name

RICHARD G MD

Last Name

DAVITO

Suffix

Business Name

RICHARD G MD DAVITO MD

Original Issue Date

01/28/1986

Effective Date

01/28/1986

Expiration Date

07/31/1987

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006