ALFONSO C DAVID MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

ALFONSO C

Last Name

DAVID

Suffix

Business Name

ALFONSO C DAVID MD

Original Issue Date

07/02/1986

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

VIENNA

State

Zip

62995

County

JOHNSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2023