MARY ELIZABETH OLGUIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

OLGUIN

Business Name

MARY ELIZABETH OLGUIN MD

Original Issue Date

01/22/2021

Effective Date

01/22/2021

Expiration Date

07/31/2023

City

TIJERAS

State

Zip

87059

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023