EDUARDO S ANTEZANO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102068

License Status

NOT RENEWED

Business

First Name

EDUARDO

Middle

Last Name

ANTEZANO

Business Name

EDUARDO S ANTEZANO

Original Issue Date

03/04/2000

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

CLIVE

State

Zip

50325

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017