DAVID ANTHONY ANZALDUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DAVID ANTHONY

Last Name

ANZALDUA

Suffix

Business Name

DAVID ANTHONY ANZALDUA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006