HENRI C THEODORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042240

License Status

NOT RENEWED

Business

First Name

HENRI C

Last Name

THEODORE

Suffix

Business Name

HENRI C THEODORE MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

Expiration Date

07/31/1996

City

SILVER SPRING

State

Zip

20903

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006