ODALYS ESTEFANIA LARA GARCIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073171

License Status

EXPIRED

Business

Title

First Name

ODALYS

Middle

ESTEFANIA

Last Name

LARA GARCIA

Business Name

ODALYS ESTEFANIA LARA GARCIA MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022