GUILLERMO MARIANO ESTRADA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108581

License Status

INACTIVE

Business

First Name

GUILLERMO

Middle

MARIANO

Last Name

ESTRADA

Suffix

Business Name

GUILLERMO MARIANO ESTRADA MD

Original Issue Date

02/13/2003

Effective Date

02/13/2003

Expiration Date

07/31/2005

City

SCOTTSDALE

State

Zip

85253

Ever Disciplined

LastModifiedDate

10/09/2006