MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE1867 CRANE RIDGE DRIVE, SUITE 200-B

JACKSON, MISSISSIPPI 39216(601) 987-3079

Professional Verification Report for License: 18789Generated on: 09/12/2010 at 04:03:19 PM

Name: ZVI MAROMDegree: MDDate of Birth: 05/15/1942Primary Practice Location: WINSTON MEDICAL CENTER

562 EAST MAINLOUISVILLE, MS 39339

License Number: 18789Issue Date: 01/10/2005Expiration Date: 06/30/2011Date of Expiration Prior to Reinstate Date: 05/20/2010Reinstated Date: 07/22/2010MD/DO/DPM/PA School: Israel (Primary Source Verified)Year of Graduation: UnknownPhysician Specialty: GENERAL PRACTICE (Not Primary Source Verified)Public Record: YESLicense Type: MD

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