TRUCE TANEO ORDONA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

TRUCE

Middle

TANEO

Last Name

ORDONA

Business Name

TRUCE TANEO ORDONA MD

Original Issue Date

04/03/2008

Effective Date

04/03/2008

Expiration Date

07/31/2011

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011