NIMROD LAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111676

License Status

NOT RENEWED

Business

First Name

NIMROD

Last Name

LAVI

Suffix

Business Name

NIMROD LAVI MD

Original Issue Date

06/23/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WYNNEWOOD

State

Zip

19096

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/06/2008