TANYA EGODAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137961

License Status

NOT RENEWED

Business

Title

First Name

TANYA

Last Name

EGODAGE

Business Name

TANYA EGODAGE MD

Original Issue Date

05/08/2015

Effective Date

05/08/2015

Expiration Date

07/31/2017

City

LOS ALAMITOS

State

Zip

90720

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017