MOR-JUL-90
- Code
- MOR-JUL-90
- Mercy ID
- V-02698-21
- Encounter Date
- 03/12/2008
- Last
- Moreno
- First
- Julio cesar
- DOB
- 05/21/1990
- County
- Dekalb
- Street
- 3126 Buford Hwy apt. 36
- City
- Atlanta
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Rocio Figueroa | 10/18/1970 | Mexico |
| Father | Julio Moreno | 12/19/1970 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Father
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- C. Martinez
- Data Entry
- J. Manzo