LADD THEODORE TUCEK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039078

License Status

NOT RENEWED

Business

First Name

LADD

Middle

THEODORE

Last Name

TUCEK

Suffix

Business Name

LADD THEODORE TUCEK DO

Original Issue Date

05/21/1964

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRING

State

Zip

77381

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/06/2008