PIERS AMBROUSE BARRY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133759

License Status

INACTIVE

Business

Title

First Name

PIERS

Middle

AMBROUSE

Last Name

BARRY

Business Name

PIERS AMBROUSE BARRY MD

Original Issue Date

08/13/2013

Effective Date

08/13/2013

Expiration Date

07/31/2014

City

SAN ANSELMO

State

Zip

94960

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014