JACK EDWARD MAIDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043561

License Status

NOT RENEWED

Business

First Name

JACK EDWARD

Last Name

MAIDMAN

Suffix

Business Name

JACK EDWARD MAIDMAN MD

Original Issue Date

07/13/1970

Effective Date

07/13/1970

City

LOS ANGELES

State

Zip

90049

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006