CRISOSTOMO FAUNI LOZADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058022

License Status

NOT RENEWED

Business

First Name

CRISOSTOMO FAUNI

Last Name

LOZADA

Suffix

Business Name

CRISOSTOMO FAUNI LOZADA MD

Original Issue Date

11/11/1978

Effective Date

11/11/1978

Expiration Date

07/31/1990

City

CAIRO

State

Zip

62914

County

ALEXANDER

Ever Disciplined

LastModifiedDate

09/20/2006