CLAUDIA IRENE VIDAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136851

License Status

NOT RENEWED

Business

Title

First Name

CLAUDIA

Middle

IRENE

Last Name

VIDAL

Business Name

CLAUDIA IRENE VIDAL MD

Original Issue Date

11/24/2014

Effective Date

07/06/2017

Expiration Date

09/30/2020

City

CLAYTON

State

Zip

63105

Ever Disciplined

LastModifiedDate

01/14/2021