JOHN ALEXIS L S TAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048123

License Status

NOT RENEWED

Business

First Name

JOHN ALEXIS L S

Last Name

TAM

Suffix

Business Name

JOHN ALEXIS L S TAM MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

ANDALUSIA

State

Zip

19020

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006