AMY MICHELLE TOLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130333

License Status

NOT RENEWED

Business

Title

First Name

AMY

Middle

MICHELLE

Last Name

TOLAN

Business Name

AMY MICHELLE TOLAN MD

Original Issue Date

05/11/2012

Effective Date

05/11/2012

Expiration Date

07/31/2014

City

PLAYA DEL REY

State

Zip

90293

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014