DAVID ALLEN TABER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063755

License Status

INACTIVE

Business

First Name

DAVID ALLEN

Last Name

TABER

Suffix

Business Name

DAVID ALLEN TABER MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/1990

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006