ELIZABETH A PERALTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102822

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

PERALTA

Suffix

Business Name

ELIZABETH A PERALTA MD

Original Issue Date

06/24/2000

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

SANTA ROSA

State

Zip

62794

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014