TIMOTHY P CLOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070036

License Status

NOT RENEWED

Business

First Name

TIMOTHY P

Last Name

Suffix

Business Name

TIMOTHY P CLOSE MD

Original Issue Date

01/16/1985

Effective Date

01/16/1985

Expiration Date

07/31/1999

City

COLUMBIA

State

Zip

29203

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006