ALFONSO RICARDO URDANETA-MONCADA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149658

License Status

ACTIVE

Business

Title

First Name

ALFONSO

Middle

RICARDO

Last Name

URDANETA-MONCADA

Business Name

ALFONSO RICARDO URDANETA-MONCADA MD

Original Issue Date

06/12/2019

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

LYNWOOD

State

Zip

98036

Ever Disciplined

LastModifiedDate

07/14/2023