JACK LEVERN DODD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042169

License Status

NOT RENEWED

Business

First Name

JACK LEVERN

Last Name

DODD

Suffix

Business Name

JACK LEVERN DODD MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

Expiration Date

07/01/1976

City

TUCSON

State

Zip

85710

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006