ANDRE RICHARD THEBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094535

License Status

NOT RENEWED

Business

First Name

ANDRE RICHARD

Last Name

THEBERT

Suffix

Business Name

ANDRE RICHARD THEBERT MD

Original Issue Date

11/19/1996

Effective Date

11/19/1996

Expiration Date

07/31/1999

City

LOUISVILLE

State

Zip

40204

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006