EDGAR F SALAZAR GRUESO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067158

License Status

NOT RENEWED

Business

First Name

EDGAR F

Last Name

SALAZAR GRUESO

Suffix

Business Name

EDGAR F SALAZAR GRUESO MD

Original Issue Date

08/02/1983

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHESTER SPRINGS

State

Zip

19425

Ever Disciplined

LastModifiedDate

11/06/2008