DAVID MATEO DE ACOSTA ANDINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131515

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Last Name

MATEO DE ACOSTA ANDINO

Business Name

DAVID MATEO DE ACOSTA ANDINO MD

Original Issue Date

09/27/2012

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017