ROBERTO G MIXCO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070213

License Status

INACTIVE

Business

First Name

ROBERTO G

Last Name

MIXCO

Suffix

Business Name

ROBERTO G MIXCO MD

Original Issue Date

03/21/1985

Effective Date

03/21/1985

Expiration Date

07/31/1987

City

LOUISVILLE

State

Zip

40222

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006