Frederick James de la Vega

Medical - Physician And Surgeon

Minnesota  42131   Canceled

This Minnesota license was held by Frederick James de la Vega. The license is no longer active. It was granted on 09/11/1999 and expired on 08/31/2008

LICENSE DETAILS

  • License Number: 42131
  • Category: Physician and Surgeon
  • Status: Canceled
  • Date Granted: 09/11/1999 (over 25 years ago)
  • Expiry Date: 08/31/2008 (over 16 years ago)

LOCATIONS

A Licensure Designated Address

Coastal Neurological Medical Group, 9850 Gensesee Ave-Ste 740, La Jolla, CA 92037