THEODORE DAVID PAWLIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103541

License Status

NOT RENEWED

Business

Title

First Name

THEODORE

Middle

DAVID

Last Name

PAWLIK

Business Name

THEODORE DAVID PAWLIK MD

Original Issue Date

09/26/2000

Effective Date

01/20/2012

Expiration Date

07/31/2014

City

PORTLAND

State

Zip

97227

County

OREGON

Ever Disciplined

LastModifiedDate

11/17/2014