EDWIN ARELLANO DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106702

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

ARELLANO

Last Name

DIAZ

Suffix

Business Name

EDWIN ARELLANO DIAZ MD

Original Issue Date

04/04/2002

Effective Date

04/04/2002

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006