PAMELA S DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077971

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

DIAZ

Suffix

Business Name

PAMELA S DIAZ MD

Original Issue Date

10/08/1988

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

30030

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/14/2011