GUSTAVO A DIAZ-MERCADO

License Number: ME133375

Data As Of 6/25/2024

Profession Medical Doctor
License ME133375
License Status CLEAR/Active
Qualifications Dispensing Practitioner
License Expiration Date 1/31/2025
License Original Issue Date 07/20/2017
Address of Record 180 W Esplanade Avenue
KENNER, LA 70065
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

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