JONATHAN RAY DIAZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163519

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

RAY

Last Name

DIAZ

Business Name

JONATHAN RAY DIAZ DO

Original Issue Date

01/30/2023

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

COLORADO SPRINGS

State

Zip

80924

Ever Disciplined

LastModifiedDate

08/02/2023