BRENDA P SANTAMARIAVIEGAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048839

License Status

INACTIVE

Business

First Name

BRENDA P

Last Name

SANTAMARIAVIEGAS

Suffix

Business Name

BRENDA P SANTAMARIAVIEGAS MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

Expiration Date

07/31/1987

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006