IGNACIO UY OMENGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

IGNACIO

Middle

Last Name

OMENGAN

Suffix

Business Name

IGNACIO UY OMENGAN MD

Original Issue Date

12/09/1999

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023