ADOLFO DOLORES GARNICA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

ADOLFO

Middle

DOLORES

Last Name

GARNICA

Business Name

ADOLFO DOLORES GARNICA MD

Original Issue Date

01/31/2018

Effective Date

01/31/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021