ALLEN RAFAEL MD - Medical Doctor License in Arizona | # 036095255

ALLEN RAFAEL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095255

License Status

NOT RENEWED

Business

N

First Name

ALLEN

Last Name

RAFAEL

Suffix

MD

Business Name

ALLEN RAFAEL MD

Original Issue Date

04/04/1997

Effective Date

04/04/1997

Expiration Date

07/31/2002

State

AZ

Ever Disciplined

N

LastModifiedDate

10/09/2006