JORGE MEDINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137022

License Status

NOT RENEWED

Business

Title

First Name

JORGE

Last Name

MEDINA

Business Name

JORGE MEDINA MD

Original Issue Date

01/06/2015

Effective Date

01/06/2015

Expiration Date

07/31/2017

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017