ANTONIO C ARRIETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

ANTONIO C

Last Name

ARRIETA

Suffix

Business Name

ANTONIO C ARRIETA MD

Original Issue Date

09/28/1987

Effective Date

09/28/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006