JOHN S SUTANTO DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006467

License Status

NOT RENEWED

Business

First Name

JOHN S

Last Name

SUTANTO

Suffix

Business Name

JOHN S SUTANTO DC

Original Issue Date

07/22/1989

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

ZUNI

State

Zip

87327

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017