THEODORE FITCH MAUGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041203

License Status

NOT RENEWED

Business

First Name

THEODORE FITCH

Last Name

MAUGER

Suffix

Business Name

THEODORE FITCH MAUGER MD

Original Issue Date

07/28/1967

Effective Date

07/28/1967

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006