DAVID AUSTIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033107

License Status

INACTIVE

Business

First Name

DAVID

Last Name

AUSTIN

Suffix

Business Name

DAVID AUSTIN MD

Original Issue Date

11/23/1954

Effective Date

11/23/1954

Expiration Date

07/31/1993

City

IDAHO FALLS

State

Zip

83404

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006