RENEE DIANE ESPINOSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103363

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

DIANE

Last Name

ESPINOSA

Suffix

Business Name

RENEE DIANE ESPINOSA MD

Original Issue Date

08/29/2000

Effective Date

08/29/2000

Expiration Date

07/31/2005

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006