MAURICIO DE LA GARZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056302

License Status

EXPIRED

Business

Title

First Name

MAURICIO

Last Name

DE LA GARZA

Business Name

MAURICIO DE LA GARZA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/19/2017