THEODORE ARTHUR MICKLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171002

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ARTHUR

Last Name

MICKLE

Business Name

THEODORE ARTHUR MICKLE DO

Original Issue Date

07/08/2024

Effective Date

07/08/2024

Expiration Date

07/31/2026

City

OKLAHOMA CITY

State

Zip

73134

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

07/08/2024