THEODORE D FIFER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

THEODORE D

Last Name

FIFER

Suffix

Business Name

THEODORE D FIFER MD

Original Issue Date

04/14/1992

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023