THEODORE MAX GIESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047480

License Status

NOT RENEWED

Business

First Name

THEODORE MAX

Last Name

GIESE

Suffix

Business Name

THEODORE MAX GIESE MD

Original Issue Date

06/28/1973

Effective Date

06/28/1973

Expiration Date

07/31/1990

City

TEMPE

State

Zip

85282

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006