PAUL RYAN VANTINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137572

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

RYAN

Last Name

VANTINE

Business Name

PAUL RYAN VANTINE MD

Original Issue Date

03/16/2015

Effective Date

03/16/2015

Expiration Date

07/31/2017

City

ALBUQUERQUE

State

Zip

87110

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017