ROGER P TATUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097757

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

TATUM

Business Name

ROGER P TATUM

Original Issue Date

04/28/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MERCER ISLAND

State

Zip

98040

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/06/2008