AMANDA JANE AVILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145350

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

JANE

Last Name

AVILA

Business Name

AMANDA JANE AVILA MD

Original Issue Date

03/19/2018

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

FORT MYERS

State

Zip

33919

Ever Disciplined

LastModifiedDate

11/30/2023