ROY TYLER FRIZZELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107783

License Status

INACTIVE

Business

First Name

ROY

Middle

TYLER

Last Name

FRIZZELL

Suffix

Business Name

ROY TYLER FRIZZELL MD

Original Issue Date

09/05/2002

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

BOISE

State

Zip

83702

County

IDAHO

Ever Disciplined

LastModifiedDate

04/07/2011