JUAN RAFAEL MENDOZA ORTIZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

JUAN

Middle

RAFAEL

Last Name

MENDOZA ORTIZ

Business Name

JUAN RAFAEL MENDOZA ORTIZ MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2025