PERCIVAL H MORALEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

PERCIVAL

Middle

Last Name

MORALEDA

Suffix

Business Name

PERCIVAL H MORALEDA MD

Original Issue Date

11/13/1986

Effective Date

11/13/1986

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017