PATRICIO BUENA V ILADA IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

PATRICIO

Middle

BUENA V

Last Name

ILADA

Suffix

IV MD

Business Name

PATRICIO BUENA V ILADA IV MD

Original Issue Date

09/26/1991

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

PLEASANT PRAIRIE

State

Zip

53158

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023