NICASIO S GUTIERREZ JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068634

License Status

INACTIVE

Business

First Name

NICASIO S

Last Name

GUTIERREZ JR

Suffix

Business Name

NICASIO S GUTIERREZ JR MD

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

07/31/1987

City

NORMAN

State

Zip

73072

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006