VIVIAN F TOM MD - Medical Doctor License in New York | # 036148728

VIVIAN F TOM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148728

License Status

NOT RENEWED

Business

N

Title

MD

First Name

VIVIAN

Middle

F

Last Name

TOM

Business Name

VIVIAN F TOM MD

Original Issue Date

03/22/2019

Effective Date

03/22/2019

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021