LUISA MAHINAY SARROZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

LUISA MAHINAY

Last Name

SARROZA

Suffix

Business Name

LUISA MAHINAY SARROZA MD

Original Issue Date

04/30/1997

Effective Date

04/30/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006