ENRIQUE H BECERRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095252

License Status

NOT RENEWED

Business

First Name

ENRIQUE H

Last Name

BECERRA

Suffix

Business Name

ENRIQUE H BECERRA MD

Original Issue Date

04/03/1997

Effective Date

04/03/1997

Expiration Date

07/31/1999

City

JOHNSON CITY

State

Zip

37604

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006