JAIME LUIS VELASCO MASSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134760

License Status

NOT RENEWED

Business

Title

First Name

JAIME

Middle

LUIS

Last Name

VELASCO MASSON

Business Name

JAIME LUIS VELASCO MASSON MD

Original Issue Date

03/07/2014

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

62236

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021