MARIA RIZZA DURAN COLLANTES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057053

License Status

EXPIRED

Business

Title

First Name

MARIA

Middle

RIZZA DURAN

Last Name

COLLANTES

Business Name

MARIA RIZZA DURAN COLLANTES MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELLEVILLE

State

Zip

62220

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

08/29/2012