OMMA G VAIDYA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110993

License Status

NOT RENEWED

Business

First Name

OMMA

Middle

Last Name

VAIDYA

Business Name

OMMA G VAIDYA

Original Issue Date

03/12/2004

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

TACOMA

State

Zip

98402

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017