GERALDINE C MERCADO ORENDAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

GERALDINE C

Middle

MERCADO

Last Name

ORENDAIN

Suffix

Business Name

GERALDINE C MERCADO ORENDAIN MD

Original Issue Date

04/19/1999

Effective Date

04/19/1999

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006