DAVID POWELL OUCHTERLONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057822

License Status

NOT RENEWED

Business

First Name

DAVID POWELL

Last Name

OUCHTERLONY

Suffix

Business Name

DAVID POWELL OUCHTERLONY MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/31/1984

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/20/2006