CLEOFE MARIE SUMAWANG VERGARA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099158

License Status

INACTIVE

Business

First Name

CLEOFE MARIE

Middle

SUMAWANG

Last Name

VERGARA

Business Name

CLEOFE MARIE SUMAWANG VERGARA

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

07/31/1999

City

LAS VEGAS

State

Zip

89148

Ever Disciplined

LastModifiedDate

09/20/2006