MARCOS JESUS IZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MARCOS

Middle

JESUS

Last Name

IZA

Suffix

Business Name

MARCOS JESUS IZA MD

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

07/31/2002

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011