XAVIER CORTADA DEFORTUNY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

XAVIER CORTADA

Last Name

DEFORTUNY

Suffix

Business Name

XAVIER CORTADA DEFORTUNY MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006