THEODORE KIERSCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025398

License Status

INACTIVE

Business

First Name

THEODORE

Last Name

KIERSCH

Suffix

Business Name

THEODORE KIERSCH MD

Original Issue Date

04/17/1943

Effective Date

04/17/1943

Expiration Date

07/31/1984

City

SAN LUIS OBISPO

State

Zip

93401

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006