JOSE ENRIQUE DIAZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038388

License Status

INACTIVE

Business

First Name

JOSE ENRIQUE

Last Name

DIAZ

Suffix

Business Name

JOSE ENRIQUE DIAZ MD

Original Issue Date

06/05/1963

Effective Date

06/05/1963

Expiration Date

07/31/1987

City

FT. LAUDERDALE

State

Zip

33308

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006