48616

First Name

MARIO

Last Name

JUAREZ-INFANTE

License Status

Delinquent

Discipline

Initial Registration Date

26 Aug 2008

Expiration Date

30 Sep 2023

Address Line 1

4401 Masthead St NE

Address Line 2

Suite 150

City

Albuquerque

State

New Mexico

Zip

87109

Phone