Arizona
Board of Licensing
Edward E. Icaza MD
Medical Doctor
License number
25700
Date granted
09/05/1997
Class
Medical Doctor
Status
Canceled
Address
350 W Thomas Rd, Phoenix AZ 85013-4409
arizonalicensing.com
ID 22480715
LAST UPDATED 2024-03-13 15:44:05 UTC
LAST UPDATED 2024-03-13 15:44:05 UTC