MARTIN PATRICIO ANANIAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

PATRICIO

Last Name

ANANIAS

Business Name

MARTIN PATRICIO ANANIAS MD

Original Issue Date

06/29/2024

Effective Date

06/29/2024

Expiration Date

07/31/2026

City

SANTA ROSA

State

Zip

95403

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026