RAFAEL ANTONIO FONSECA
Department Of Health - Medical Doctor Restricted
Florida RS29 Voided
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 The license is no longer active.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 10/15/2000
LICENSE DETAILS
- License Number: RS29
- Category: Medical Doctor Restricted
- Status: Voided
- Date Granted: 09/01/1962 (over 62 years ago)
- Expiry Date: 10/15/2000 (over 24 years ago)
LOCATIONS
A Primary Practice Address
11760 SW 40 STREET, SUITE 729, THE ATRIUM MEDICAL BLDG, MIAMI, FL 33175