JUAN ENRIQUE WANTIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138808

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

ENRIQUE

Last Name

WANTIG

Business Name

JUAN ENRIQUE WANTIG MD

Original Issue Date

07/28/2015

Effective Date

07/28/2015

Expiration Date

07/31/2017

City

GAINESVILLE

State

Zip

32605

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017