BRENDAN DAVID SOTOMAYOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069096

License Status

CANCELLED

Business

Title

First Name

BRENDAN

Middle

DAVID

Last Name

SOTOMAYOR

Business Name

BRENDAN DAVID SOTOMAYOR MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

READSTOWN

State

Zip

54652

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/09/2016