XABIER BERISTAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135197

License Status

NOT RENEWED

Business

Title

First Name

XABIER

Last Name

BERISTAIN

Business Name

XABIER BERISTAIN MD

Original Issue Date

04/30/2014

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

46122

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017