JUAN RAFAEL MENDOZA ORTIZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175617

License Status

ACTIVE

Business

Title

First Name

JUAN

Middle

RAFAEL

Last Name

MENDOZA ORTIZ

Business Name

JUAN RAFAEL MENDOZA ORTIZ MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/23/2025