THEODORE C LO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105523

License Status

INACTIVE

Business

First Name

THEODORE

Middle

Last Name

Suffix

Business Name

THEODORE C LO MD

Original Issue Date

09/04/2001

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

PONTE VEDRA

State

Zip

32081

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/05/2020