ERIC T EVENSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077506

License Status

INACTIVE

Business

First Name

ERIC T

Last Name

EVENSON

Suffix

Business Name

ERIC T EVENSON MD

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

07/31/1996

City

ANNANDALE

State

Zip

22003

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006