ELSIE MARIE DIEZ-CARDONA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

ELSIE

Middle

MARIE

Last Name

DIEZ-CARDONA

Business Name

ELSIE MARIE DIEZ-CARDONA MD

Original Issue Date

07/26/2012

Effective Date

07/26/2012

Expiration Date

07/31/2014

City

MIRAMAR

State

Zip

33027

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014