MARLON T MUNESES Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

MARLON T

Last Name

MUNESES

Business Name

MARLON T MUNESES

Original Issue Date

09/02/1997

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

PANA

State

Zip

62557

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023