TIMOTHY JOHN CONRAD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112804

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JOHN

Last Name

CONRAD

Suffix

Business Name

TIMOTHY JOHN CONRAD DO

Original Issue Date

12/23/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEW PHILADELPHIA

State

Zip

44663

Ever Disciplined

LastModifiedDate

11/06/2008