DAVID VIDAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037696

License Status

INACTIVE

Business

First Name

DAVID

Last Name

VIDAL

Suffix

Business Name

DAVID VIDAL MD

Original Issue Date

03/14/1962

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WILDWOOD

State

Zip

63011

Ever Disciplined

LastModifiedDate

04/17/2008