STEVEN THOMAS DODGE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053982

License Status

INACTIVE

Business

First Name

STEVEN THOMAS

Last Name

DODGE

Suffix

Business Name

STEVEN THOMAS DODGE MD

Original Issue Date

12/09/1976

Effective Date

12/09/1976

Expiration Date

07/31/1987

City

HILO

State

Zip

96720

County

HAWAII

Ever Disciplined

LastModifiedDate

09/20/2006