JOSEPH DONALD COONROD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039163

License Status

INACTIVE

Business

First Name

JOSEPH

Middle

DONALD

Last Name

COONROD

Suffix

Business Name

JOSEPH DONALD COONROD MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

Expiration Date

07/31/2005

City

SALT LAKE CITY

State

Zip

84106

County

UTAH

Ever Disciplined

LastModifiedDate

10/09/2006