THORDUR S AGUSTSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071878

License Status

NOT RENEWED

Business

First Name

THORDUR S

Last Name

AGUSTSSON

Suffix

Business Name

THORDUR S AGUSTSSON MD

Original Issue Date

10/24/1985

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

SHELTON

State

Zip

98584

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017