JEAN-MAURICE MIRANDA SALCEDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

JEAN-MAURICE

Middle

MIRANDA

Last Name

SALCEDO

Business Name

JEAN-MAURICE MIRANDA SALCEDO MD

Original Issue Date

11/25/2024

Effective Date

11/25/2024

Expiration Date

07/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/27/2024