GUSTAVO MOSQUERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

GUSTAVO

Last Name

MOSQUERA

Suffix

Business Name

GUSTAVO MOSQUERA MD

Original Issue Date

12/24/2009

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023