FELIPE COSCOLLUELA JAVIER III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100466

License Status

INACTIVE

Business

First Name

FELIPE

Middle

COSCOLLUELA

Last Name

JAVIER

Suffix

III MD

Business Name

FELIPE COSCOLLUELA JAVIER III MD

Original Issue Date

06/29/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

IRVING

State

Zip

75062

Ever Disciplined

LastModifiedDate

09/23/2008