ANDREW OWEN TODD DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101459

License Status

INACTIVE

Business

First Name

ANDREW

Middle

OWEN

Last Name

TODD

Suffix

Business Name

ANDREW OWEN TODD DO

Original Issue Date

10/12/1999

Effective Date

10/12/1999

Expiration Date

07/31/2005

City

MOUNT PLEASANT

State

Zip

29464

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006