ALEJANDRO JESUS CRACCO MAHECHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

ALEJANDRO

Middle

JESUS

Last Name

CRACCO MAHECHA

Business Name

ALEJANDRO JESUS CRACCO MAHECHA MD

Original Issue Date

03/05/2021

Effective Date

03/05/2021

Expiration Date

07/31/2023

City

WESTON

State

Zip

33327

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023