ROGER P TATUM - Medical Doctor License in Washington | # 036097757

ROGER P TATUM

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097757

License Status

NOT RENEWED

Business

N

First Name

ROGER

Middle

P

Last Name

TATUM

Business Name

ROGER P TATUM

Original Issue Date

04/28/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

WA

Ever Disciplined

N

LastModifiedDate

11/06/2008