OMAYRA MARIE QUIJANO-VEGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

OMAYRA

Middle

MARIE

Last Name

QUIJANO-VEGA

Business Name

OMAYRA MARIE QUIJANO-VEGA MD

Original Issue Date

03/17/2017

Effective Date

03/17/2017

Expiration Date

07/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017