MIGUEL A MAZARIEGOS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090007

License Status

INACTIVE

Business

First Name

MIGUEL A

Last Name

MAZARIEGOS

Business Name

MIGUEL A MAZARIEGOS

Original Issue Date

12/15/1994

Effective Date

12/15/1994

Expiration Date

07/31/1996

City

BARTOW

State

Zip

33831

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006