FERNANDO RAFAEL MEDINA CARBONELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164780

License Status

ACTIVE

Business

Title

First Name

FERNANDO

Middle

RAFAEL

Last Name

MEDINA CARBONELL

Business Name

FERNANDO RAFAEL MEDINA CARBONELL MD

Original Issue Date

05/23/2023

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

05/23/2023