RAFAEL ALBERTO MORA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030043

License Status

NOT RENEWED

Business

First Name

RAFAEL ALBERTO

Last Name

MORA

Suffix

Business Name

RAFAEL ALBERTO MORA MD

Original Issue Date

06/08/1950

Effective Date

06/08/1950

City

SAGAMORE BEACH

State

Zip

02562

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006