EMANUEL DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122688

License Status

NOT RENEWED

Business

First Name

EMANUEL

Last Name

DIAZ

Suffix

Business Name

EMANUEL DIAZ MD

Original Issue Date

02/25/2009

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

VIERA

State

Zip

32940

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017