JANIS L TANGALOS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067264

License Status

INACTIVE

Business

First Name

JANIS L

Last Name

TANGALOS

Suffix

Business Name

JANIS L TANGALOS MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1993

City

PHOENIX

State

Zip

85021

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006