FERNANDO XAVIER MUNOZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

FERNANDO

Middle

XAVIER

Last Name

MUNOZ

Suffix

Business Name

FERNANDO XAVIER MUNOZ MD

Original Issue Date

03/07/2002

Effective Date

03/07/2002

Expiration Date

07/31/2008

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008