IMMANUEL STEPHEN THAMBAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063581

License Status

INACTIVE

Business

First Name

IMMANUEL STEPHEN

Last Name

THAMBAN

Suffix

Business Name

IMMANUEL STEPHEN THAMBAN MD

Original Issue Date

11/23/1981

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

WACO

State

Zip

76712

County

TEXAS

Ever Disciplined

LastModifiedDate

04/08/2014