PATRICIO HERNAN MUJICA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101809

License Status

NOT RENEWED

Business

First Name

PATRICIO

Middle

HERNAN

Last Name

MUJICA

Suffix

Business Name

PATRICIO HERNAN MUJICA MD

Original Issue Date

01/14/2000

Effective Date

01/14/2000

Expiration Date

07/31/2002

City

LEWISTON

State

Zip

04240

County

MAINE

Ever Disciplined

LastModifiedDate

10/09/2006