CYRIL ETTA TABE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151122

License Status

NOT RENEWED

Business

Title

First Name

CYRIL

Middle

ETTA

Last Name

TABE

Business Name

CYRIL ETTA TABE MD

Original Issue Date

10/31/2019

Effective Date

11/12/2020

Expiration Date

07/31/2023

City

MINOT

State

Zip

58701

Ever Disciplined

LastModifiedDate

11/30/2023