DIVINA G AVERILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087972

License Status

NOT RENEWED

Business

First Name

DIVINA G

Last Name

AVERILLA

Suffix

Business Name

DIVINA G AVERILLA MD

Original Issue Date

02/01/1994

Effective Date

02/01/1994

Expiration Date

07/31/1996

City

LAS VEGAS

State

Zip

89117

County

NEVADA

Ever Disciplined

LastModifiedDate

03/18/2008