CARL RALPH TASSISTRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039963

License Status

NOT RENEWED

Business

First Name

CARL RALPH

Last Name

TASSISTRO

Suffix

Business Name

CARL RALPH TASSISTRO MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

City

MISSION VIEJO

State

Zip

92675

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006