CONSTANCE DARYL FIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067372

License Status

NOT RENEWED

Business

First Name

CONSTANCE DARYL

Last Name

FIELDS

Suffix

Business Name

CONSTANCE DARYL FIELDS MD

Original Issue Date

08/26/1983

Effective Date

08/26/1983

Expiration Date

07/31/1996

City

BOCA RATON

State

Zip

33496

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006