LUISA FERNANDA MADRONERO WAITMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

LUISA FERNANDA

Middle

MADRONERO

Last Name

WAITMAN

Suffix

Business Name

LUISA FERNANDA MADRONERO WAITMAN MD

Original Issue Date

07/10/2003

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

TULSA

State

Zip

74114

County

OKLAHOMA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020