JESUS R GUAJARDO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099654

License Status

INACTIVE

Business

First Name

JESUS

Middle

Last Name

GUAJARDO

Business Name

JESUS R GUAJARDO

Original Issue Date

02/18/1999

Effective Date

02/18/1999

Expiration Date

07/31/2005

City

COLUMBIA

State

Zip

65212

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006