CRISTINA N MEDRANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

CRISTINA

Middle

Last Name

MEDRANO

Business Name

CRISTINA N MEDRANO MD

Original Issue Date

05/17/2007

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020