FERNANDO IRIZARRY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

FERNANDO

Last Name

IRIZARRY

Business Name

FERNANDO IRIZARRY

Original Issue Date

02/20/2002

Effective Date

02/20/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006