DEOGRAGIAS QUIZON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

DEOGRAGIAS

Last Name

QUIZON

Business Name

DEOGRAGIAS QUIZON

Original Issue Date

01/01/1997

Effective Date

08/05/2023

Expiration Date

07/31/2026

City

PANA

State

Zip

62557

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2023