TINA HOMER PITHAWALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119161

License Status

NOT RENEWED

Business

First Name

TINA

Middle

HOMER

Last Name

PITHAWALLA

Suffix

Business Name

TINA HOMER PITHAWALLA MD

Original Issue Date

08/08/2007

Effective Date

05/31/2012

Expiration Date

07/31/2014

City

SCOTTSDALE

State

Zip

85251

Ever Disciplined

LastModifiedDate

11/17/2014