LARRY MICHAEL OJEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

LARRY MICHAEL

Last Name

OJEDA

Suffix

Business Name

LARRY MICHAEL OJEDA MD

Original Issue Date

01/30/1991

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021