WILLIAM O TATUM DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076747

License Status

INACTIVE

Business

First Name

WILLIAM O

Last Name

TATUM

Suffix

Business Name

WILLIAM O TATUM DO

Original Issue Date

03/05/1988

Effective Date

03/05/1988

Expiration Date

07/31/1990

City

PHILADELPHIA

State

Zip

19128

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

03/25/2014