ROME JUTABHA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077700

License Status

INACTIVE

Business

First Name

ROME

Last Name

JUTABHA

Suffix

Business Name

ROME JUTABHA MD

Original Issue Date

08/20/1988

Effective Date

08/20/1988

Expiration Date

07/31/1990

City

LOMA LINDA

State

Zip

92354

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006