JAIMIE SHANNEN TOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174780

License Status

ACTIVE

Business

Title

First Name

JAIMIE

Middle

SHANNEN

Last Name

TOM

Business Name

JAIMIE SHANNEN TOM MD

Original Issue Date

04/28/2025

Effective Date

04/28/2025

Expiration Date

07/31/2026

City

HONOLULU

State

Zip

96822

Ever Disciplined

LastModifiedDate

04/28/2025