ALONSO MESA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077090

License Status

INACTIVE

Business

First Name

ALONSO

Last Name

MESA

Suffix

Business Name

ALONSO MESA MD

Original Issue Date

06/04/1988

Effective Date

06/04/1988

Expiration Date

07/31/1990

City

MERIDIAN

State

Zip

30305

Ever Disciplined

LastModifiedDate

10/29/2014