NICOLAS EDUARDO PALACIOS MEZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152153

License Status

NOT RENEWED

Business

First Name

NICOLAS

Middle

EDUARDO

Last Name

PALACIOS MEZA

Business Name

NICOLAS EDUARDO PALACIOS MEZA

Original Issue Date

03/12/2020

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

LONG ISLAND CITY

State

Zip

11109

Ever Disciplined

LastModifiedDate

11/30/2023