License Directory

Javier Ivan Diaz Mendoza

Active

Michigan license 4301081549

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301081549
Status
Active
First issued
June 30, 2009
Expires
June 30, 2028
License holder
Javier Ivan Diaz Mendoza
Entity type
Individual

Classifications

Contact

Henry Ford Hospital K17
2799 W Grand Blvd
Detroit, MI 48202
Wayne County