TAMARA ZORIANNA VERN-GROSS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120118

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

ZORIANNA

Last Name

VERN-GROSS

Business Name

TAMARA ZORIANNA VERN-GROSS

Original Issue Date

02/13/2008

Effective Date

08/02/2011

Expiration Date

07/31/2014

City

WINSTON SALEM

State

Zip

27106

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/17/2014