ANA-MARIA HENTIU SOLEANICOV Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

ANA-MARIA

Last Name

HENTIU SOLEANICOV

Business Name

ANA-MARIA HENTIU SOLEANICOV

Original Issue Date

07/17/1996

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023