DAVID MATEO DE ACOSTA ANDINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057983

License Status

CANCELLED

Business

Title

First Name

DAVID

Last Name

MATEO DE ACOSTA ANDINO

Business Name

DAVID MATEO DE ACOSTA ANDINO MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/14/2012