EZEQUIEL MUNOZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149172

License Status

NOT RENEWED

Business

Title

First Name

EZEQUIEL

Last Name

MUNOZ

Business Name

EZEQUIEL MUNOZ MD

Original Issue Date

04/23/2019

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023