KIRK PATRICK MAXINO UY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130138

License Status

INACTIVE

Business

Title

First Name

KIRK PATRICK

Middle

MAXINO

Last Name

Business Name

KIRK PATRICK MAXINO UY MD

Original Issue Date

04/19/2012

Effective Date

04/19/2012

Expiration Date

07/31/2014

City

KELSO

State

Zip

98626

Ever Disciplined

LastModifiedDate

04/08/2014