MICHAEL DWAYNE HODGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163694

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

DWAYNE

Last Name

HODGE

Business Name

MICHAEL DWAYNE HODGE DO

Original Issue Date

02/15/2023

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

COLUMBUS

State

Zip

43215

Ever Disciplined

LastModifiedDate

07/27/2023