ORLANDO J ICAZA JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

ORLANDO

Middle

Last Name

ICAZA JR

Business Name

ORLANDO J ICAZA JR

Original Issue Date

05/30/2000

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023