MARCOS DACCARETT Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109987

License Status

INACTIVE

Business

First Name

MARCOS

Last Name

DACCARETT

Business Name

MARCOS DACCARETT

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

07/31/2005

City

BOISE

State

Zip

83702

Ever Disciplined

LastModifiedDate

04/25/2011