CLAUDIA IRENE VIDAL MD - Medical Doctor License in Missouri | # 036136851

CLAUDIA IRENE VIDAL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136851

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CLAUDIA

Middle

IRENE

Last Name

VIDAL

Business Name

CLAUDIA IRENE VIDAL MD

Original Issue Date

11/24/2014

Effective Date

07/06/2017

Expiration Date

09/30/2020

State

MO

Ever Disciplined

N

LastModifiedDate

01/14/2021