MARTA MANUELA VANSTRATEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

MARTA

Middle

MANUELA

Last Name

VANSTRATEN

Business Name

MARTA MANUELA VANSTRATEN DO

Original Issue Date

02/14/2018

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023