CARL RALPH TASSISTRO MD - Medical Doctor License in California | # 036039963

CARL RALPH TASSISTRO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039963

License Status

NOT RENEWED

Business

N

First Name

CARL RALPH

Last Name

TASSISTRO

Suffix

MD

Business Name

CARL RALPH TASSISTRO MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006