JUCELLE HABACON OCCIDENTAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110534

License Status

NOT RENEWED

Business

Title

First Name

JUCELLE

Middle

HABACON

Last Name

OCCIDENTAL

Business Name

JUCELLE HABACON OCCIDENTAL MD

Original Issue Date

12/04/2003

Effective Date

11/05/2013

Expiration Date

07/31/2014

City

SHERWOOD

State

Zip

72120

County

ARKANSAS

Ever Disciplined

LastModifiedDate

11/17/2014