FERNANDO DE LA TORRE-UGARTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041294

License Status

NOT RENEWED

Business

First Name

FERNANDO DE LA

Last Name

TORRE-UGARTE

Suffix

Business Name

FERNANDO DE LA TORRE-UGARTE MD

Original Issue Date

08/07/1967

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

MARYSVILLE

State

Zip

66508

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017