LUIS FERNANDO COUCHONNAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123153

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

FERNANDO

Last Name

COUCHONNAL

Suffix

Business Name

LUIS FERNANDO COUCHONNAL MD

Original Issue Date

04/13/2009

Effective Date

04/13/2009

Expiration Date

07/31/2011

City

IOWA CITY

State

Zip

52245

County

IOWA

Ever Disciplined

LastModifiedDate

11/14/2011