MARISA ANNE BAORTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088504

License Status

NOT RENEWED

Business

First Name

MARISA ANNE

Last Name

BAORTO

Suffix

Business Name

MARISA ANNE BAORTO MD

Original Issue Date

06/06/1994

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

ONALASKA

State

Zip

54650

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014