JENNIFER ANNE THEOHARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110296

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANNE

Last Name

THEOHARIS

Suffix

Business Name

JENNIFER ANNE THEOHARIS MD

Original Issue Date

10/15/2003

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

BOERNE

State

Zip

78006

County

TEXAS

Ever Disciplined

LastModifiedDate

11/17/2014