LESA D FRAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078357

License Status

NOT RENEWED

Business

First Name

LESA D

Last Name

FRAKER

Suffix

Business Name

LESA D FRAKER MD

Original Issue Date

01/24/1989

Effective Date

01/24/1989

Expiration Date

07/31/1999

City

RANCHOS DE TAOS

State

Zip

87557

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006