HONORIO JERONIMO CACERES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

HONORIO JERONIMO

Last Name

CACERES

Suffix

Business Name

HONORIO JERONIMO CACERES MD

Original Issue Date

03/11/1997

Effective Date

03/11/1997

Expiration Date

07/31/2005

City

OREGON

State

Zip

61061

County

OGLE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006