RAFAELANI TARUC UY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133981

License Status

INACTIVE

Business

Title

First Name

RAFAELANI

Middle

TARUC

Last Name

Business Name

RAFAELANI TARUC UY MD

Original Issue Date

09/18/2013

Effective Date

09/18/2013

Expiration Date

07/31/2014

City

KELSO

State

Zip

98626

Ever Disciplined

LastModifiedDate

04/08/2014