TIMOTHY PAGE LAX MD - Medical Doctor License in Oregon | # 036120469

TIMOTHY PAGE LAX MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120469

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

PAGE

Last Name

LAX

Suffix

MD

Business Name

TIMOTHY PAGE LAX MD

Original Issue Date

04/07/2008

Effective Date

04/07/2008

Expiration Date

07/31/2011

State

OR

Ever Disciplined

N

LastModifiedDate

11/14/2011