DZUNG DUC-TIEN MANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101319

License Status

INACTIVE

Business

First Name

DZUNG

Middle

DUC-TIEN

Last Name

MANG

Suffix

Business Name

DZUNG DUC-TIEN MANG MD

Original Issue Date

09/22/1999

Effective Date

09/22/1999

Expiration Date

07/31/2002

City

TAMPA

State

Zip

33615

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006