MA CLARAVEL BARICUATRO CRISTE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051150

License Status

CANCELLED

Business

First Name

MA CLARAVEL

Middle

BARICUATRO

Last Name

CRISTE

Suffix

Business Name

MA CLARAVEL BARICUATRO CRISTE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006