JOHN S SUTANTO DC - Medical Doctor License in New Mexico | # 038006467

JOHN S SUTANTO DC

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006467

License Status

NOT RENEWED

Business

N

First Name

JOHN S

Last Name

SUTANTO

Suffix

DC

Business Name

JOHN S SUTANTO DC

Original Issue Date

07/22/1989

Effective Date

07/28/2014

Expiration Date

07/31/2017

State

NM

Ever Disciplined

N

LastModifiedDate

11/01/2017