THEODORE ARTHUR SLATER III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108800

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

ARTHUR

Last Name

SLATER

Suffix

III MD

Business Name

THEODORE ARTHUR SLATER III MD

Original Issue Date

03/17/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

COLUMBUS

State

Zip

43220

County

OHIO

Ever Disciplined

LastModifiedDate

11/06/2008