JESUS IGOR IRURETAGOYENA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

JESUS

Middle

IGOR

Last Name

IRURETAGOYENA

Business Name

JESUS IGOR IRURETAGOYENA MD

Original Issue Date

06/18/2022

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

MIDDLETON

State

Zip

53562

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023