ANDREA MALLET MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098046

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

MALLET

Last Name

MARTIN

Suffix

Business Name

ANDREA MALLET MARTIN MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

07/31/1999

City

LONG BEACH

State

Zip

90808

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/25/2007

Case Number

2007001337

Action

Refuse To Renew

Discipline Start Date

05/18/2007

Discipline Reason

after being disciplined in the state of California.