EUGENE ADIVOSO BACORRO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120658

License Status

INACTIVE

Business

First Name

EUGENE

Middle

ADIVOSO

Last Name

BACORRO

Suffix

Business Name

EUGENE ADIVOSO BACORRO MD

Original Issue Date

04/21/2008

Effective Date

04/21/2008

Expiration Date

07/31/2011

City

LEXINGTON

State

Zip

02421

Ever Disciplined

LastModifiedDate

04/07/2011