CAN LE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068681

License Status

INACTIVE

Business

First Name

CAN

Last Name

Suffix

Business Name

CAN LE MD

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

07/31/1987

City

GALLUP

State

Zip

87301

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006