GEORGE ANTHONY NEGRETE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

GEORGE

Middle

ANTHONY

Last Name

NEGRETE

Business Name

GEORGE ANTHONY NEGRETE MD

Original Issue Date

03/16/2019

Effective Date

03/16/2019

Expiration Date

09/30/2020

City

NEENAH

State

Zip

54956

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021