ALLAN TANNER BOMBARD MD - Medical Doctor License in Mississippi | # 036067729

ALLAN TANNER BOMBARD MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067729

License Status

INACTIVE

Business

N

First Name

ALLAN TANNER

Last Name

BOMBARD

Suffix

MD

Business Name

ALLAN TANNER BOMBARD MD

Original Issue Date

10/07/1983

Effective Date

10/07/1983

Expiration Date

07/31/1987

State

MS

Ever Disciplined

N

LastModifiedDate

09/20/2006