VERNAN I ATIENZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107853

License Status

NOT RENEWED

Business

First Name

VERNAN

Middle

Last Name

ATIENZA

Business Name

VERNAN I ATIENZA

Original Issue Date

09/17/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/06/2008