ALICIA PERESLUCHA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072280

License Status

CANCELLED

Business

Title

First Name

ALICIA

Last Name

PERESLUCHA

Business Name

ALICIA PERESLUCHA MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

PHOENIX

State

Zip

85006

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/11/2018