TERRY WAYNE EBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045088

License Status

NOT RENEWED

Business

First Name

TERRY WAYNE

Last Name

EBERT

Suffix

Business Name

TERRY WAYNE EBERT MD

Original Issue Date

01/12/1972

Effective Date

01/12/1972

City

HOUSTON

State

Zip

77079

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006