ALFONSO QUIZON ESTRADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

ALFONSO QUIZON

Last Name

ESTRADA

Suffix

Business Name

ALFONSO QUIZON ESTRADA MD

Original Issue Date

01/01/1997

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021