LEILANI ALTAGRACIA SEGURA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

LEILANI

Middle

ALTAGRACIA

Last Name

SEGURA

Business Name

LEILANI ALTAGRACIA SEGURA MD

Original Issue Date

10/01/2024

Effective Date

10/01/2024

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024