TAMMY A LYLES Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103400

License Status

INACTIVE

Business

First Name

TAMMY

Middle

Last Name

LYLES

Business Name

TAMMY A LYLES

Original Issue Date

09/05/2000

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CARROLLTON

State

Zip

30117

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/08/2014