RICHARD ALLAN FLOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042346

License Status

INACTIVE

Business

First Name

RICHARD ALLAN

Last Name

FLOM

Suffix

Business Name

RICHARD ALLAN FLOM MD

Original Issue Date

01/30/1969

Effective Date

01/30/1969

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85013

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006