MARIO REYES VELASCO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

MARIO

Middle

REYES

Last Name

VELASCO

Suffix

JR MD

Business Name

MARIO REYES VELASCO JR MD

Original Issue Date

03/07/2001

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023