EDWARD B CAZZOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124011

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

CAZZOLA

Suffix

Business Name

EDWARD B CAZZOLA MD

Original Issue Date

07/15/2009

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

ALBUQUERQUE

State

Zip

87109

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017