ALFONSO QUIZON ESTRADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

ALFONSO QUIZON

Last Name

ESTRADA

Suffix

Business Name

ALFONSO QUIZON ESTRADA MD

Original Issue Date

08/17/2012

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021