TARA JAMIE WU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158816

License Status

NOT RENEWED

Business

Title

First Name

TARA

Middle

JAMIE

Last Name

Business Name

TARA JAMIE WU MD

Original Issue Date

11/18/2021

Effective Date

11/18/2021

Expiration Date

07/31/2023

City

LOS ANGELES

State

Zip

90095

Ever Disciplined

LastModifiedDate

11/30/2023