WILFREDO VEGA-MONTALVO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086598

License Status

NOT RENEWED

Business

First Name

WILFREDO

Last Name

VEGA-MONTALVO

Suffix

Business Name

WILFREDO VEGA-MONTALVO MD

Original Issue Date

06/24/1993

Effective Date

06/24/1993

Expiration Date

07/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006