BLAS M ZELAYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

BLAS M

Last Name

ZELAYA

Suffix

Business Name

BLAS M ZELAYA MD

Original Issue Date

01/01/1997

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2025