JOSE E VEIZAGA-MENDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

VEIZAGA-MENDEZ

Suffix

Business Name

JOSE E VEIZAGA-MENDEZ MD

Original Issue Date

07/13/2006

Effective Date

07/13/2006

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008