ILKA YADIRA NAZARIO PEREZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

ILKA

Middle

YADIRA

Last Name

NAZARIO PEREZ

Business Name

ILKA YADIRA NAZARIO PEREZ MD

Original Issue Date

08/19/2021

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023