License holder summary

Dr. MAURICIO DIGENES GAYTAN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MAURICIO DIGENES GAYTAN is 601 Victoria Ave Venice CA 90291. This licensed professional license is not current. The license was granted 08/17/2009 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

Dr. MAURICIO DIGENES GAYTAN
Board Of Medicine
License number
M-10787
Date granted
08/17/2009
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
601 Victoria Ave Venice CA 90291
idaholicensing.com
ID 48339739
LAST UPDATED 2024-03-06 15:28:38 UTC

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