DANIEL DE LA TORRE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111496

License Status

INACTIVE

Business

First Name

DANIEL

Last Name

DE LA TORRE

Business Name

DANIEL DE LA TORRE

Original Issue Date

05/27/2004

Effective Date

05/27/2004

Expiration Date

07/31/2005

City

FORT MYERS

State

Zip

33919

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006