MALCOLM I PAGE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074060

License Status

INACTIVE

Business

First Name

MALCOLM I

Last Name

PAGE

Suffix

Business Name

MALCOLM I PAGE MD

Original Issue Date

10/30/1986

Effective Date

10/30/1986

Expiration Date

07/31/1990

City

AUGUSTA

State

Zip

30910

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006