MANUEL A COLON-DEJESUS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112065

License Status

INACTIVE

Business

First Name

MANUEL

Middle

Last Name

COLON-DEJESUS

Suffix

Business Name

MANUEL A COLON-DEJESUS MD

Original Issue Date

08/10/2004

Effective Date

09/14/2011

Expiration Date

07/31/2014

City

LILBURN

State

Zip

30047

Ever Disciplined

LastModifiedDate

03/19/2019