GERARDO L BALDASSARRI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103085

License Status

INACTIVE

Business

First Name

GERARDO

Middle

Last Name

BALDASSARRI

Suffix

Business Name

GERARDO L BALDASSARRI MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/31/2005

City

JACKSONVILLE

State

Zip

32221

Ever Disciplined

LastModifiedDate

10/09/2006