EMELINDA GOROSTIZA-TOLOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

EMELINDA

Last Name

GOROSTIZA-TOLOD

Business Name

EMELINDA GOROSTIZA-TOLOD MD

Original Issue Date

12/01/2011

Effective Date

05/19/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021