JOSE LUIS VELAZQUEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057213

License Status

INACTIVE

Business

First Name

JOSE LUIS

Last Name

VELAZQUEZ

Suffix

Business Name

JOSE LUIS VELAZQUEZ MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1990

City

PALM HARBOR

State

Zip

34683

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006