RUSSELL HERMAN TOMAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101811

License Status

INACTIVE

Business

First Name

RUSSELL

Middle

HERMAN

Last Name

TOMAR

Suffix

Business Name

RUSSELL HERMAN TOMAR MD

Original Issue Date

01/14/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011