AMBROSIO P MENDIOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065808

License Status

NOT RENEWED

Business

First Name

AMBROSIO P

Last Name

MENDIOLA

Suffix

Business Name

AMBROSIO P MENDIOLA MD

Original Issue Date

12/21/1982

Effective Date

12/21/1982

Expiration Date

07/31/1999

City

LEAVENWORTH

State

Zip

66048

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006