JESUS TREVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145042

License Status

NOT RENEWED

Business

Title

First Name

JESUS

Last Name

TREVINO

Business Name

JESUS TREVINO MD

Original Issue Date

02/01/2018

Effective Date

02/01/2018

Expiration Date

09/30/2020

City

MADISON

State

Zip

53726

Ever Disciplined

LastModifiedDate

01/14/2021