ALLEN RAFAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095255

License Status

NOT RENEWED

Business

First Name

ALLEN

Last Name

RAFAEL

Suffix

Business Name

ALLEN RAFAEL MD

Original Issue Date

04/04/1997

Effective Date

04/04/1997

Expiration Date

07/31/2002

City

SCOTTSDALE

State

Zip

85259

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006