MERRIE L VISCARRA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113267

License Status

NOT RENEWED

Business

Title

First Name

MERRIE

Middle

Last Name

VISCARRA

Business Name

MERRIE L VISCARRA DO

Original Issue Date

03/16/2005

Effective Date

07/28/2021

Expiration Date

07/31/2023

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

11/30/2023