GERTRUDA EVARISTO - Medical Doctor License in Pq | # 036159024

GERTRUDA EVARISTO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159024

License Status

NOT RENEWED

Business

N

First Name

GERTRUDA

Last Name

EVARISTO

Business Name

GERTRUDA EVARISTO

Original Issue Date

12/20/2021

Effective Date

12/20/2021

Expiration Date

07/31/2023

State

PQ

Ever Disciplined

N

LastModifiedDate

11/30/2023