DAVID RAUL MUNOZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

RAUL

Last Name

MUNOZ

Business Name

DAVID RAUL MUNOZ MD

Original Issue Date

10/06/2020

Effective Date

10/06/2020

Expiration Date

07/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/30/2023