TARA L PERNOT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106037

License Status

INACTIVE

Business

First Name

TARA

Middle

Last Name

PERNOT

Suffix

Business Name

TARA L PERNOT MD

Original Issue Date

12/26/2001

Effective Date

12/26/2001

Expiration Date

07/31/2005

City

TEMECULA

State

Zip

92592

Ever Disciplined

LastModifiedDate

05/06/2010