SUL ROSS OLEN THORWARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125006462

License Status

EXPIRED

Business

First Name

SUL

Middle

ROSS

Last Name

OLEN THORWARD

Business Name

SUL ROSS OLEN THORWARD

Original Issue Date

01/01/1998

Effective Date

01/01/1998

Expiration Date

07/01/1977

City

WORTHINGTON

State

Zip

43085

County

OHIO

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/23/2009