TAWANNA N KING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155993

License Status

NOT RENEWED

Business

Title

First Name

TAWANNA

Middle

Last Name

KING

Business Name

TAWANNA N KING MD

Original Issue Date

03/10/2021

Effective Date

03/10/2021

Expiration Date

07/31/2023

City

ALEXANDRIA

State

Zip

22314

Ever Disciplined

LastModifiedDate

11/30/2023