|
|
|
License Verification
|
|
Data As Of 11/22/2008
|
|
|
| Profession |
| MEDICAL DOCTOR |
|
| License/Activity Status |
CLEAR/ACTIVE
|
|
|
| Qualifications |
| Dispensing Practitioner |
|
|
|
| License Expiration Date |
|
License Original Issue Date |
| 1/31/2010 |
|
12/31/1973 |
|
|
| Discipline on File |
|
YES
Link To Discipline
| |
|
|
| Address of Record |
8525 SW 92ND STREET
MIAMI,FL33156-7378
|
|
|
|
|
|
|
|
|
The information on this page is a secure, primary source for license verification provided by
The Florida Department of Health, Division of Medical Quality Assurance. This website is
maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.
|
|
