ARDELLE BRYNNE AMBROSIO ESTOESTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

ARDELLE BRYNNE

Middle

AMBROSIO

Last Name

ESTOESTA

Business Name

ARDELLE BRYNNE AMBROSIO ESTOESTA MD

Original Issue Date

07/28/2025

Effective Date

07/28/2025

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2025