THEODORE MARAVICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038352

License Status

INACTIVE

Business

First Name

THEODORE

Last Name

MARAVICH

Suffix

Business Name

THEODORE MARAVICH MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

NEWPORT BEACH

State

Zip

92663

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006