ALFONSO E URDANETA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

ALFONSO E

Last Name

URDANETA

Suffix

Business Name

ALFONSO E URDANETA MD

Original Issue Date

01/01/1997

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023