JONATHAN EARL VELASCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117395

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

EARL

Last Name

VELASCO

Suffix

Business Name

JONATHAN EARL VELASCO MD

Original Issue Date

12/29/2006

Effective Date

12/29/2006

Expiration Date

07/31/2008

City

KETTERING

State

Zip

45429

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/06/2008