PHILLIP CONRAD GORRINDO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146917

License Status

INACTIVE

Business

Title

First Name

PHILLIP

Middle

CONRAD

Last Name

GORRINDO

Business Name

PHILLIP CONRAD GORRINDO MD

Original Issue Date

07/13/2018

Effective Date

07/13/2018

Expiration Date

09/30/2020

City

MINDEN

State

Zip

89423

Ever Disciplined

LastModifiedDate

04/21/2020