TODD LAWRENCE ENGDAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113579

License Status

ACTIVE

Business

First Name

TODD

Middle

LAWRENCE

Last Name

ENGDAHL

Suffix

Business Name

TODD LAWRENCE ENGDAHL MD

Original Issue Date

04/27/2005

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/26/2023