DOUGLAS WALTER SODERDAHL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041554

License Status

INACTIVE

Business

First Name

DOUGLAS WALTER

Last Name

SODERDAHL

Suffix

Business Name

DOUGLAS WALTER SODERDAHL MD

Original Issue Date

01/24/1968

Effective Date

01/24/1968

Expiration Date

07/31/1987

City

DOUGLASVILLE

State

Zip

30135

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006