MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE

1867 CRANE RIDGE DRIVE, SUITE 200-B

JACKSON, MISSISSIPPI 39216
(601) 987-3079

Professional Verification Report for License: 18789

Generated on: 09/12/2010 at 04:03:19 PM

Name: ZVI MAROM

Degree: MD
Date of Birth: 05/15/1942
Primary Practice Location: WINSTON MEDICAL CENTER
562 EAST MAIN
LOUISVILLE, MS 39339
License Number: 18789
Issue Date: 01/10/2005
Expiration Date: 06/30/2011
Date of Expiration Prior to Reinstate Date: 05/20/2010
Reinstated Date: 07/22/2010
MD/DO/DPM/PA School: Israel (Primary Source Verified)
Year of Graduation: Unknown
Physician Specialty: GENERAL PRACTICE (Not Primary Source Verified)
Public Record: YES
License Type: MD

[Page 1 of 21]
[Page 2 of 21]
[Page 3 of 21]
[Page 4 of 21]
[Page 5 of 21]
[Page 6 of 21]
[Page 7 of 21]
[Page 8 of 21]
[Page 9 of 21]
[Page 10 of 21]
[Page 11 of 21]
[Page 12 of 21]
[Page 13 of 21]
[Page 14 of 21]
[Page 15 of 21]
[Page 16 of 21]
[Page 17 of 21]
[Page 18 of 21]
[Page 19 of 21]
[Page 20 of 21]
[Page 21 of 21]