FIDEL DESIR BOYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

FIDEL

Last Name

DESIR BOYA

Business Name

FIDEL DESIR BOYA MD

Original Issue Date

08/07/2025

Effective Date

08/07/2025

Expiration Date

07/31/2026

City

WOOD RIVER

State

Zip

62095

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2025