DEOFIL LUZOD ORTEZA MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

INOPERATIVE

Business

First Name

DEOFIL LUZOD

Last Name

ORTEZA

Suffix

Business Name

DEOFIL LUZOD ORTEZA MD

Original Issue Date

01/01/1997

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023