JUAN GODINEZ-PUEBLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089257

License Status

INACTIVE

Business

First Name

JUAN

Last Name

GODINEZ-PUEBLA

Suffix

Business Name

JUAN GODINEZ-PUEBLA MD

Original Issue Date

07/30/1994

Effective Date

07/30/1994

Expiration Date

07/31/1999

City

MIAMI BEACH

State

Zip

33140

Ever Disciplined

LastModifiedDate

12/30/2008