JUAN JOSE VAZQUEZ-BAUZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152087

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

JOSE

Last Name

VAZQUEZ-BAUZA

Business Name

JUAN JOSE VAZQUEZ-BAUZA

Original Issue Date

03/06/2020

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/30/2023