PAUL RYAN VANTINE MD - Medical Doctor License in New Mexico | # 036137572

PAUL RYAN VANTINE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137572

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PAUL

Middle

RYAN

Last Name

VANTINE

Business Name

PAUL RYAN VANTINE MD

Original Issue Date

03/16/2015

Effective Date

03/16/2015

Expiration Date

07/31/2017

State

NM

Ever Disciplined

N

LastModifiedDate

11/01/2017