EDUARDO D MEZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

EDUARDO D

Last Name

MEZA

Suffix

Business Name

EDUARDO D MEZA MD

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011