ASHLEY M JERATH-TATUM MD - Medical Doctor License in Washington | # 036097760

ASHLEY M JERATH-TATUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097760

License Status

NOT RENEWED

Business

N

First Name

ASHLEY

Middle

M

Last Name

JERATH-TATUM

Suffix

MD

Business Name

ASHLEY M JERATH-TATUM MD

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