ELSA LUCIA VAZQUEZ-MELENDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

ELSA

Middle

LUCIA

Last Name

VAZQUEZ-MELENDEZ

Suffix

Business Name

ELSA LUCIA VAZQUEZ-MELENDEZ MD

Original Issue Date

05/16/2008

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023