STEPHEN B HALTOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129391

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

HALTOM

Business Name

STEPHEN B HALTOM MD

Original Issue Date

12/21/2011

Effective Date

12/21/2011

Expiration Date

07/31/2014

City

LA JOLLA

State

Zip

92037

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014