License holder summary

MICKLE, THEODORE ARTHUR, DO is a Medical - Physician licensed to practice in Georgia. The address on file for MICKLE, THEODORE ARTHUR, DO is 4204 NW 143RD STREET, OKLAHOMA CITY 73134. This doctor license is not current. The license was granted 04/02/1987 and expired on 12/31/2013.

Georgia

Composite Medical Board

MICKLE, THEODORE ARTHUR, DO
Medical - Physician
License number
029492
Date granted
04/02/1987
Date expires
12/31/2013
Class
Medical - Physician
Status
Lapsed
Address
4204 NW 143RD STREET
georgiadoctors.net
ID 38065383
LAST UPDATED 2024-05-05 08:41:30 UTC

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