SCOTT A CARBAJAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113108

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

CARBAJAL

Suffix

Business Name

SCOTT A CARBAJAL MD

Original Issue Date

02/22/2005

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

MANDEVILLE

State

Zip

70448

County

LOUISIANA

Ever Disciplined

LastModifiedDate

11/17/2014