FERNANDO XAVIER MUNOZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

FERNANDO

Middle

XAVIER

Last Name

MUNOZ

Suffix

Business Name

FERNANDO XAVIER MUNOZ MD

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008