PAMELA R COPELAN SMITH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068630

License Status

INACTIVE

Business

First Name

PAMELA R COPELAN

Last Name

SMITH

Business Name

PAMELA R COPELAN SMITH

Original Issue Date

05/03/1984

Effective Date

05/03/1984

Expiration Date

07/31/1987

City

SANTA TERESA

State

Zip

88008

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006