GERSON LUIS RODRIGUEZ-FAZZI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094985

License Status

NOT RENEWED

Business

First Name

GERSON LUIS

Last Name

RODRIGUEZ-FAZZI

Suffix

Business Name

GERSON LUIS RODRIGUEZ-FAZZI MD

Original Issue Date

03/08/1997

Effective Date

03/08/1997

Expiration Date

07/31/1999

City

TAMPA

State

Zip

33613

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006