License holder summary

JUAN CARLOS DE TATA is a Health Care - Physician And Surgeon License licensed to practice in Washington. This medical licensee license is not current. The license was granted 08/05/1976 and expired on 09/06/2010.

Washington

Medical Commission

JUAN CARLOS DE TATA
Health Care - Physician And Surgeon License
License number
MD00015326
Date granted
08/05/1976
Date expires
09/06/2010
Class
Health Care - Physician And Surgeon License
Status
Expired
wamedical.net
ID 39856700
LAST UPDATED 2026-06-08 04:09:29 UTC

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