HERMAN G BOTERO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132848

License Status

NOT RENEWED

Business

Title

First Name

HERMAN

Middle

Last Name

BOTERO

Business Name

HERMAN G BOTERO DO

Original Issue Date

05/09/2013

Effective Date

05/09/2013

Expiration Date

07/31/2014

City

COLUMBUS

State

Zip

31904

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/17/2014