ANITA LOYOLA MERCADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ANITA LOYOLA

Last Name

MERCADO

Suffix

Business Name

ANITA LOYOLA MERCADO MD

Original Issue Date

06/29/1997

Effective Date

06/29/1997

Expiration Date

07/31/2002

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006