THEODORE GEORGE MAYER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094531

License Status

INACTIVE

Business

Title

First Name

THEODORE

Middle

GEORGE

Last Name

MAYER

Business Name

THEODORE GEORGE MAYER MD

Original Issue Date

11/19/1996

Effective Date

12/03/2015

Expiration Date

07/31/2017

City

ST CLR SHORES

State

Zip

48081

Ever Disciplined

LastModifiedDate

07/29/2017