JOSE MARIA D MENDIETA MD - Medical Doctor License in Kentucky | # 036069814

JOSE MARIA D MENDIETA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069814

License Status

INACTIVE

Business

N

First Name

JOSE MARIA D

Last Name

MENDIETA

Suffix

MD

Business Name

JOSE MARIA D MENDIETA MD

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1987

State

KY

Ever Disciplined

N

LastModifiedDate

09/20/2006