ANTONIO TABLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065931

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

TABLAN

Suffix

Business Name

ANTONIO TABLAN MD

Original Issue Date

01/18/1983

Effective Date

01/18/1983

Expiration Date

07/31/1999

City

LOS ANGELES

State

Zip

90048

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006