ALFONSO RENE DE LA TORRE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049565

License Status

INACTIVE

Business

First Name

ALFONSO

Middle

RENE

Last Name

DE LA TORRE

Suffix

Business Name

ALFONSO RENE DE LA TORRE MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/2005

City

ALBUQUERQUE

State

Zip

87111

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006