DAVID ALAN THEODORO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095641

License Status

NOT RENEWED

Business

First Name

DAVID ALAN

Last Name

THEODORO

Suffix

Business Name

DAVID ALAN THEODORO MD

Original Issue Date

06/16/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/04/2020