TIMOTHY E SPADE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089758

License Status

INACTIVE

Business

First Name

TIMOTHY E

Last Name

SPADE

Business Name

TIMOTHY E SPADE

Original Issue Date

10/03/1994

Effective Date

10/03/1994

Expiration Date

07/31/1996

City

THREE RIVERS

State

Zip

93271

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006