EDWARD FELIPE A SANTOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

EDWARD

Middle

FELIPE A

Last Name

SANTOS

Suffix

Business Name

EDWARD FELIPE A SANTOS MD

Original Issue Date

06/30/1993

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023