MANUEL DE ANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044579

License Status

NOT RENEWED

Business

Title

First Name

MANUEL

Last Name

DE ANDA

Business Name

MANUEL DE ANDA MD

Original Issue Date

08/09/1971

Effective Date

08/16/2007

Expiration Date

07/31/2008

City

BERKELEY

State

Zip

94705

Ever Disciplined

LastModifiedDate

11/06/2008