MICHAEL A MARTELLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172992

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

MARTELLA

Business Name

MICHAEL A MARTELLA DO

Original Issue Date

12/09/2024

Effective Date

12/09/2024

Expiration Date

07/31/2026

City

PORT WASHINGTON

State

Zip

53074

Ever Disciplined

LastModifiedDate

12/09/2024