PAUL THEOBALD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031765

License Status

INACTIVE

Business

First Name

PAUL

Last Name

THEOBALD

Suffix

Business Name

PAUL THEOBALD MD

Original Issue Date

12/04/1952

Effective Date

12/04/1952

Expiration Date

07/31/1990

City

HUDSON

State

Zip

61748

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/20/2006