TAMARA S HEIBULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136420

License Status

NOT RENEWED

Business

Title

First Name

TAMARA

Middle

Last Name

HEIBULT

Business Name

TAMARA S HEIBULT MD

Original Issue Date

09/04/2014

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

FOLSOM

State

Zip

95630

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021