HEIDELENE E DE LA ROSA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099009

License Status

INACTIVE

Business

First Name

HEIDELENE

Middle

Last Name

DE LA ROSA

Business Name

HEIDELENE E DE LA ROSA

Original Issue Date

09/08/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

APPLE VALLEY

State

Zip

92307

Ever Disciplined

LastModifiedDate

06/30/2008