AMANDA QUINTINO MARTINS LARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

AMANDA

Last Name

QUINTINO MARTINS LARA

Business Name

AMANDA QUINTINO MARTINS LARA MD

Original Issue Date

07/07/2025

Effective Date

07/07/2025

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2025