LUIS TUMIALAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042844

License Status

NOT RENEWED

Business

First Name

LUIS

Last Name

TUMIALAN

Suffix

Business Name

LUIS TUMIALAN MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63118

Ever Disciplined

LastModifiedDate

02/29/2008

Case Number

2007001157

Action

Refuse To Renew

Discipline Start Date

05/18/2007

Discipline End Date

02/28/2008

Discipline Reason

after being disciplined in the state of Missouri.