RAFAEL ANTONIO FONSECA
Department Of Health - Medical Doctor
Florida ME83700 Delinquent
This Florida license was held by RAFAEL ANTONIO FONSECA. The license is no longer active. It was granted on 09/01/1962 and expired on 01/31/2014
LICENSE DETAILS
- License Number: ME83700
- Category: Medical Doctor
- Status: Delinquent
- Date Granted: 09/01/1962 (almost 64 years ago)
- Expiry Date: 01/31/2014 (over 12 years ago)
LOCATIONS
A Primary Practice Address
2001 NW 7TH STREET, SUITE 300, MIAMI, FL 33125