MIGUEL A PANIAGUA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

MIGUEL

Middle

Last Name

PANIAGUA

Suffix

Business Name

MIGUEL A PANIAGUA MD

Original Issue Date

01/01/1997

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023