DAVID PORTEUS FEARIS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040304

License Status

NOT RENEWED

Business

First Name

DAVID PORTEUS

Last Name

FEARIS III

Suffix

Business Name

DAVID PORTEUS FEARIS III MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

City

WAXAHACHIE

State

Zip

75165

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006