ALLAN TANNER BOMBARD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067729

License Status

INACTIVE

Business

First Name

ALLAN TANNER

Last Name

BOMBARD

Suffix

Business Name

ALLAN TANNER BOMBARD MD

Original Issue Date

10/07/1983

Effective Date

10/07/1983

Expiration Date

07/31/1987

City

OCEAN SPRINGS

State

Zip

39564

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/20/2006