DEXTER RESURRECCION ANGELES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

DEXTER

Middle

RESURRECCION

Last Name

ANGELES

Business Name

DEXTER RESURRECCION ANGELES MD

Original Issue Date

08/04/2015

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021