FABIO EDGARD SU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094132

License Status

INACTIVE

Business

First Name

FABIO EDGARD

Last Name

Suffix

Business Name

FABIO EDGARD SU MD

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

07/31/1999

City

COCONUT CREEK

State

Zip

33073

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006