ALFONSO E URDANETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

ALFONSO E

Last Name

URDANETA

Suffix

Business Name

ALFONSO E URDANETA MD

Original Issue Date

08/14/1990

Effective Date

08/14/1990

Expiration Date

07/31/1999

City

FLORA

State

Zip

62839

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020