MAMTA JAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113281

License Status

NOT RENEWED

Business

First Name

MAMTA

Last Name

JAIN

Suffix

Business Name

MAMTA JAIN MD

Original Issue Date

03/18/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MOUNTAIN HOUSE

State

Zip

95391

Ever Disciplined

LastModifiedDate

11/06/2008