TODD ANDREW DIEBOLD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148191

License Status

ACTIVE

Business

First Name

TODD

Middle

ANDREW

Last Name

DIEBOLD

Suffix

Business Name

TODD ANDREW DIEBOLD DO

Original Issue Date

01/24/2019

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

07/04/2023