ROMAN B KLOS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077010

License Status

INACTIVE

Business

First Name

ROMAN B

Last Name

KLOS

Suffix

Business Name

ROMAN B KLOS MD

Original Issue Date

05/17/1988

Effective Date

05/17/1988

Expiration Date

07/31/1993

City

FORT LAUDERDALE

State

Zip

33308

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/21/2018