LEONARDO RAFAEL HORMAZA MD - Medical Doctor License in Pr | # 33*****55

LEONARDO RAFAEL HORMAZA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

CANCELLED

Business

N

First Name

LEONARDO

Middle

RAFAEL

Last Name

HORMAZA

Suffix

MD

Business Name

LEONARDO RAFAEL HORMAZA MD

Original Issue Date

05/15/2006

Effective Date

06/05/2008

Expiration Date

07/31/2011

State

PR

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/05/2011