RALPH GARY LARAISO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099567

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

GARY

Last Name

LARAISO

Suffix

Business Name

RALPH GARY LARAISO DO

Original Issue Date

02/01/1999

Effective Date

02/01/1999

Expiration Date

07/31/2005

City

ELMA

State

Zip

14059

County

MACON

Ever Disciplined

LastModifiedDate

10/30/2013