TAMARA MICHELE MUSSO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122208

License Status

INACTIVE

Business

First Name

TAMARA

Middle

MICHELE

Last Name

MUSSO

Suffix

Business Name

TAMARA MICHELE MUSSO MD

Original Issue Date

11/14/2008

Effective Date

11/14/2008

Expiration Date

07/31/2011

City

CHANDLER

State

Zip

85224

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/07/2011