ORLANDO J ICAZA JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102519

License Status

ACTIVE

Business

First Name

ORLANDO

Middle

Last Name

ICAZA JR

Business Name

ORLANDO J ICAZA JR

Original Issue Date

05/19/2000

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/06/2023