THOR AGUSTSSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130493

License Status

NOT RENEWED

Business

Title

First Name

THOR

Last Name

AGUSTSSON

Business Name

THOR AGUSTSSON DO

Original Issue Date

06/06/2012

Effective Date

06/06/2012

Expiration Date

07/31/2014

City

PENSACOLA

State

Zip

32514

Ever Disciplined

LastModifiedDate

07/17/2017