GEORGINA MARCEL BUSTAMANTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158153

License Status

ACTIVE

Business

Title

First Name

GEORGINA

Middle

MARCEL

Last Name

BUSTAMANTE

Business Name

GEORGINA MARCEL BUSTAMANTE MD

Original Issue Date

08/27/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

75001

Ever Disciplined

LastModifiedDate

06/16/2023