PAULA WILLOUGHBY DEJESUS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

WILLOUGHBY

Last Name

DEJESUS

Suffix

Business Name

PAULA WILLOUGHBY DEJESUS DO

Original Issue Date

07/23/1992

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

WEST BURLINGTON

State

Zip

52655

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021