CRISANTO GARCIA DIMAFELIX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CRISANTO

Middle

GARCIA

Last Name

DIMAFELIX

Suffix

Business Name

CRISANTO GARCIA DIMAFELIX MD

Original Issue Date

01/12/2005

Effective Date

01/12/2005

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008