DIEGO G CARDENAS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033956

License Status

EXPIRED

Business

First Name

DIEGO

Middle

Last Name

CARDENAS

Business Name

DIEGO G CARDENAS

Original Issue Date

10/04/1995

Effective Date

10/04/1995

Expiration Date

10/03/1997

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006