MARIAM R THOMAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111943

License Status

INACTIVE

Business

First Name

MARIAM

Middle

Last Name

THOMAS

Suffix

Business Name

MARIAM R THOMAS MD

Original Issue Date

07/26/2004

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

MALIBU

State

Zip

90265

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014