GERSON ALCANTARA CRISTE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049663

License Status

CANCELLED

Business

Title

First Name

GERSON

Middle

ALCANTARA

Last Name

CRISTE

Business Name

GERSON ALCANTARA CRISTE MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006