ROEL CONRAD ENERIO JAMIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058971

License Status

CANCELLED

Business

Title

First Name

ROEL

Middle

CONRAD ENERIO

Last Name

JAMIS

Business Name

ROEL CONRAD ENERIO JAMIS MD

Original Issue Date

08/02/2013

Effective Date

08/02/2013

Expiration Date

01/17/2014

City

LITCHFIELD PARK

State

Zip

85340

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/17/2013