MICHAEL GOMENDOZA 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

MICHAEL

Last Name

GOMENDOZA

Suffix

Business Name

MICHAEL GOMENDOZA MD

Original Issue Date

07/20/1998

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020