MICHAEL DOMENICO TIBLANDI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088492

License Status

ACTIVE

Business

First Name

MICHAEL DOMENICO

Last Name

TIBLANDI

Suffix

Business Name

MICHAEL DOMENICO TIBLANDI DO

Original Issue Date

06/04/1994

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

RACINE

State

Zip

53406

Ever Disciplined

LastModifiedDate

07/07/2023