TIMOTHY DALE OLTHOFF DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107358

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

DALE

Last Name

OLTHOFF

Suffix

Business Name

TIMOTHY DALE OLTHOFF DO

Original Issue Date

07/05/2002

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

MESA

State

Zip

85205

Ever Disciplined

LastModifiedDate

11/17/2014