AMY MICHELLE TOLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014