ANTONIO EDGAR VAZQUEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103666

License Status

INACTIVE

Business

First Name

ANTONIO

Middle

EDGAR

Last Name

VAZQUEZ

Suffix

Business Name

ANTONIO EDGAR VAZQUEZ MD

Original Issue Date

10/18/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ELK GROVE

State

Zip

95757

Ever Disciplined

LastModifiedDate

05/31/2008