SANDRA R AVILES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095275

License Status

NOT RENEWED

Business

Title

First Name

SANDRA

Middle

Last Name

AVILES

Business Name

SANDRA R AVILES MD

Original Issue Date

04/09/1997

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

PHOENIX

State

Zip

85016

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017