DIVINA JUSON SANTOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054247

License Status

NOT RENEWED

Business

First Name

DIVINA JUSON

Last Name

SANTOS

Suffix

Business Name

DIVINA JUSON SANTOS MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006