LUIS FERNANDO ZEGADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

FERNANDO

Last Name

ZEGADA

Suffix

Business Name

LUIS FERNANDO ZEGADA MD

Original Issue Date

04/19/2010

Effective Date

08/24/2011

Expiration Date

07/31/2014

City

ABILENE

State

Zip

79606

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014