ALFONSO H D REMEDIOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040390

License Status

NOT RENEWED

Business

First Name

ALFONSO H D

Last Name

REMEDIOS

Suffix

Business Name

ALFONSO H D REMEDIOS MD

Original Issue Date

06/07/1966

Effective Date

06/07/1966

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006