ERIC E PROMMER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070982

License Status

INACTIVE

Business

First Name

ERIC E

Last Name

PROMMER

Suffix

Business Name

ERIC E PROMMER MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/2002

City

GLENDALE

State

Zip

91208

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006