JUAN ISRAEL GAITAN RUEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134158

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

ISRAEL

Last Name

GAITAN RUEDA

Business Name

JUAN ISRAEL GAITAN RUEDA MD

Original Issue Date

11/13/2013

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

PEACHTREE CITY

State

Zip

30269

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017