JONATHAN B VASQUEZ Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111388

License Status

INACTIVE

Business

First Name

JONATHAN

Middle

Last Name

VASQUEZ

Business Name

JONATHAN B VASQUEZ

Original Issue Date

05/21/2004

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

ST CLOUD

State

Zip

34772

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/12/2017