MORENA LETICIA VALDIZON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

MORENA

Middle

LETICIA

Last Name

VALDIZON

Business Name

MORENA LETICIA VALDIZON DO

Original Issue Date

08/31/2023

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023