LUIS C DE VENECIA JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

LUIS C

Last Name

DE VENECIA JR

Business Name

LUIS C DE VENECIA JR

Original Issue Date

02/20/1996

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023