RENATO M DURHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100096

License Status

INACTIVE

Business

First Name

RENATO

Middle

Last Name

DURHAM

Suffix

Business Name

RENATO M DURHAM MD

Original Issue Date

04/28/1999

Effective Date

04/28/1999

Expiration Date

07/31/2002

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

10/16/2009