GLORIA ISABEL DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102522

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

ISABEL

Last Name

DIAZ

Suffix

Business Name

GLORIA ISABEL DIAZ MD

Original Issue Date

05/22/2000

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

MAMI

State

Zip

33135

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2011