LUIS RAUL RIVERA CRESPO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053694

License Status

CANCELLED

Business

Title

First Name

LUIS

Middle

RAUL

Last Name

RIVERA CRESPO

Business Name

LUIS RAUL RIVERA CRESPO MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

EL PASO

State

Zip

79911

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/21/2007