DMITRY MICHAEL VLASOFF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163319

License Status

ACTIVE

Business

Title

First Name

DMITRY

Middle

MICHAEL

Last Name

VLASOFF

Business Name

DMITRY MICHAEL VLASOFF MD

Original Issue Date

01/04/2023

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

WEST ALLIS

State

Zip

53227

Ever Disciplined

LastModifiedDate

05/05/2023