JACK CANDIDO AVALOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111162

License Status

NOT RENEWED

Business

First Name

JACK

Middle

CANDIDO

Last Name

AVALOS

Suffix

Business Name

JACK CANDIDO AVALOS MD

Original Issue Date

04/07/2004

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

01/14/2021