DEDRA R TOLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100470

License Status

NOT RENEWED

Business

First Name

DEDRA

Middle

Last Name

TOLSON

Suffix

Business Name

DEDRA R TOLSON MD

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

07/31/2005

City

TUKWILA

State

Zip

98138

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006