ROBERTO SANTOS QUIZON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082884

License Status

ACTIVE

Business

Title

First Name

ROBERTO

Middle

SANTOS

Last Name

QUIZON

Business Name

ROBERTO SANTOS QUIZON MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/25/2023