SUSAN W TOLLE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077198

License Status

INACTIVE

Business

First Name

SUSAN W

Last Name

TOLLE

Suffix

Business Name

SUSAN W TOLLE MD

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

07/31/1990

City

PORTLAND

State

Zip

97201

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006