TIMOTHY PAGE LAX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120469

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

PAGE

Last Name

LAX

Suffix

Business Name

TIMOTHY PAGE LAX MD

Original Issue Date

04/07/2008

Effective Date

04/07/2008

Expiration Date

07/31/2011

City

PORTLAND

State

Zip

97232

County

OREGON

Ever Disciplined

LastModifiedDate

11/14/2011