DAVID K THAMBAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105803

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

THAMBAN

Suffix

Business Name

DAVID K THAMBAN MD

Original Issue Date

11/06/2001

Effective Date

05/12/2008

Expiration Date

07/31/2011

City

ADA

State

Zip

49301

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/07/2011