RENATA LARISSA KESALA DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110011

License Status

INACTIVE

Business

First Name

RENATA

Middle

LARISSA

Last Name

KESALA

Suffix

Business Name

RENATA LARISSA KESALA DO

Original Issue Date

08/28/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SACRAMENTO

State

Zip

95816

Ever Disciplined

LastModifiedDate

04/07/2011