RONDI J TAGG ADI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077510

License Status

INACTIVE

Business

First Name

RONDI J TAGG

Last Name

ADI

Business Name

RONDI J TAGG ADI

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

07/31/1990

City

SLATINGTON

State

Zip

18080

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006