MARC ELLIOTT BIRNBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119247

License Status

INACTIVE

Business

First Name

MARC

Middle

ELLIOTT

Last Name

BIRNBAUM

Suffix

Business Name

MARC ELLIOTT BIRNBAUM MD

Original Issue Date

08/21/2007

Effective Date

08/21/2007

Expiration Date

07/31/2008

City

TARZANA

State

Zip

91356

Ever Disciplined

LastModifiedDate

06/14/2008