TIMOTHY JOHN FERNSTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155800

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

JOHN

Last Name

FERNSTROM

Business Name

TIMOTHY JOHN FERNSTROM DO

Original Issue Date

02/25/2021

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

TACOMA

State

Zip

98402

Ever Disciplined

LastModifiedDate

06/21/2023