ALISHA MICHELLE MAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134960

License Status

NOT RENEWED

Business

Title

First Name

ALISHA

Middle

MICHELLE

Last Name

MAVIS

Business Name

ALISHA MICHELLE MAVIS MD

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

07/31/2017

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017