M CARMEN C CUDIAMAT Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092107

License Status

INACTIVE

Business

First Name

M CARMEN C

Last Name

CUDIAMAT

Business Name

M CARMEN C CUDIAMAT

Original Issue Date

10/25/1995

Effective Date

10/25/1995

Expiration Date

07/31/1996

City

CLARE

State

Zip

48617

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006