JOSE MARIA D MENDIETA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069814

License Status

INACTIVE

Business

First Name

JOSE MARIA D

Last Name

MENDIETA

Suffix

Business Name

JOSE MARIA D MENDIETA MD

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1987

City

LOUISVILLE

State

Zip

40222

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006