THERESA E MONTOYA HOUSER 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

THERESA

Middle

Last Name

MONTOYA HOUSER

Business Name

THERESA E MONTOYA HOUSER

Original Issue Date

12/28/2006

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023