FARGOL BOOYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049893

License Status

EXPIRED

Business

First Name

FARGOL

Last Name

BOOYA

Suffix

Business Name

FARGOL BOOYA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

LAGUNA NIGUEL

State

Zip

92677

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006