JORGE ENRIQUE MENDIZABAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136516

License Status

NOT RENEWED

Business

Title

First Name

JORGE

Middle

ENRIQUE

Last Name

MENDIZABAL

Business Name

JORGE ENRIQUE MENDIZABAL MD

Original Issue Date

09/19/2014

Effective Date

09/19/2014

Expiration Date

07/31/2017

City

MIAMI

State

Zip

33175

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017