CAROLYN MICKUS HARTMAN MD - Medical Doctor License in Oregon | # 036074953

CAROLYN MICKUS HARTMAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074953

License Status

NOT RENEWED

Business

N

First Name

CAROLYN MICKUS

Last Name

HARTMAN

Suffix

MD

Business Name

CAROLYN MICKUS HARTMAN MD

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

07/31/1999

State

OR

Ever Disciplined

N

LastModifiedDate

09/20/2006