MICHAEL J SCUMACI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092401

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

SCUMACI

Business Name

MICHAEL J SCUMACI

Original Issue Date

02/05/1996

Effective Date

02/05/1996

Expiration Date

07/31/1999

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006