SUZANNE P AVILA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064093

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

AVILA

Suffix

Business Name

SUZANNE P AVILA DO

Original Issue Date

03/22/1982

Effective Date

11/06/2006

Expiration Date

07/31/2008

City

CORPUS CHRISTI

State

Zip

78411

Ever Disciplined

LastModifiedDate

11/06/2008