THEODORE GEORGE MAYER MD - Medical Doctor License in Michigan | # 036094531

THEODORE GEORGE MAYER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094531

License Status

INACTIVE

Business

N

Title

MD

First Name

THEODORE

Middle

GEORGE

Last Name

MAYER

Business Name

THEODORE GEORGE MAYER MD

Original Issue Date

11/19/1996

Effective Date

12/03/2015

Expiration Date

07/31/2017

State

MI

Ever Disciplined

N

LastModifiedDate

07/29/2017