HENRY C VASCONEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063436

License Status

NOT RENEWED

Business

First Name

HENRY C

Last Name

VASCONEZ

Suffix

Business Name

HENRY C VASCONEZ MD

Original Issue Date

10/23/1981

Effective Date

10/23/1981

Expiration Date

07/31/1987

City

ATLANTA

State

Zip

30329

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006