TIMOTHY EUGENE SPENCER JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104620

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

EUGENE

Last Name

SPENCER

Suffix

JR DO

Business Name

TIMOTHY EUGENE SPENCER JR DO

Original Issue Date

05/01/2001

Effective Date

05/01/2001

Expiration Date

07/31/2002

City

GALLOWAY

State

Zip

43119

County

OHIO

Ever Disciplined

LastModifiedDate

05/29/2012