PETER VASCONCELLOS DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101460

License Status

INACTIVE

Business

First Name

PETER

Last Name

VASCONCELLOS

Suffix

Business Name

PETER VASCONCELLOS DO

Original Issue Date

10/12/1999

Effective Date

10/12/1999

Expiration Date

07/31/2005

City

BOONE

State

Zip

50036

County

IOWA

Ever Disciplined

LastModifiedDate

08/07/2008