JASIRA BARRIENTOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

JASIRA

Last Name

BARRIENTOS

Business Name

JASIRA BARRIENTOS MD

Original Issue Date

08/22/2024

Effective Date

08/22/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024