JOSE GARCIA BACALLAO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038047

License Status

INACTIVE

Business

First Name

JOSE GARCIA

Last Name

BACALLAO

Suffix

Business Name

JOSE GARCIA BACALLAO MD

Original Issue Date

09/19/1962

Effective Date

09/19/1962

Expiration Date

07/31/1996

City

KEY BISCAYNE

State

Zip

33149

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006