PHILLIP CLAUDE HISTAND MD - Medical Doctor License in Oregon | # 036055008

PHILLIP CLAUDE HISTAND MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055008

License Status

INACTIVE

Business

N

First Name

PHILLIP CLAUDE

Last Name

HISTAND

Suffix

MD

Business Name

PHILLIP CLAUDE HISTAND MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/31/1990

State

OR

Ever Disciplined

N

LastModifiedDate

09/20/2006