RONALD FREDERICK SHALLAT MD - Medical Doctor License in California | # 036041233

RONALD FREDERICK SHALLAT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041233

License Status

INACTIVE

Business

N

First Name

RONALD FREDERICK

Last Name

SHALLAT

Suffix

MD

Business Name

RONALD FREDERICK SHALLAT MD

Original Issue Date

07/28/1967

Effective Date

07/28/1967

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006