LUIS ARISTIDES FIALLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145252

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

ARISTIDES

Last Name

FIALLO

Business Name

LUIS ARISTIDES FIALLO MD

Original Issue Date

03/06/2018

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

SAN DIEGO

State

Zip

92116

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021