ANA JULIA CAROLINA GOICO ALBURQUERQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

ANA

Middle

JULIA CAROLINA

Last Name

GOICO ALBURQUERQUE

Business Name

ANA JULIA CAROLINA GOICO ALBURQUERQUE MD

Original Issue Date

07/26/2022

Effective Date

07/26/2022

Expiration Date

07/31/2023

City

TERRE HAUTE

State

Zip

47804

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023