RITA ELIZABETH MEDINA-VEGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

RITA

Middle

ELIZABETH

Last Name

MEDINA-VEGA

Business Name

RITA ELIZABETH MEDINA-VEGA MD

Original Issue Date

03/16/2019

Effective Date

03/16/2019

Expiration Date

09/30/2020

City

FLAGSTAFF

State

Zip

86001

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021