ROY A POBLETE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151379

License Status

NOT RENEWED

Business

Title

First Name

ROY

Middle

Last Name

POBLETE

Business Name

ROY A POBLETE MD

Original Issue Date

12/18/2019

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

HIRAM

State

Zip

30141

Ever Disciplined

LastModifiedDate

11/30/2023