CAROLE A NASRALLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102652

License Status

INACTIVE

Business

First Name

CAROLE

Middle

Last Name

NASRALLA

Suffix

Business Name

CAROLE A NASRALLA MD

Original Issue Date

06/09/2000

Effective Date

06/09/2000

Expiration Date

07/31/2002

City

PAGOSA SPRINGS

State

Zip

81147

County

COLORADO

Ever Disciplined

LastModifiedDate

10/09/2006