ROEL CONRAD ENERIO JAMIS MD - Medical Doctor License in Arizona | # 125058971

ROEL CONRAD ENERIO JAMIS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058971

License Status

CANCELLED

Business

N

Title

MD

First Name

ROEL

Middle

CONRAD ENERIO

Last Name

JAMIS

Business Name

ROEL CONRAD ENERIO JAMIS MD

Original Issue Date

08/02/2013

Effective Date

08/02/2013

Expiration Date

01/17/2014

State

AZ

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/17/2013