DAVID CANDELARIO MENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152614

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

CANDELARIO

Last Name

MENA

Business Name

DAVID CANDELARIO MENA MD

Original Issue Date

04/16/2020

Effective Date

04/16/2020

Expiration Date

07/31/2023

City

SAINT JOSEPH

State

Zip

64504

Ever Disciplined

LastModifiedDate

11/30/2023