EVAN R GOLTRA JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063294

License Status

INACTIVE

Business

First Name

EVAN R

Last Name

GOLTRA JR

Suffix

Business Name

EVAN R GOLTRA JR MD

Original Issue Date

09/24/1981

Effective Date

09/24/1981

Expiration Date

07/31/1987

City

NORMAN

State

Zip

73069

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006