MONINA ILANO GEDA
License Number: OS12954
Data As Of 6/2/2024
Profession | Osteopathic Physician |
---|---|
License | OS12954 |
License Status | CLEAR/Active |
Qualifications | Dispensing Practitioner |
License Expiration Date | 3/31/2026 |
License Original Issue Date | 09/23/2014 |
Address of Record | 377 Deer Valley Dr |
PONTE VEDRA, FL 32081 | |
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
Discipline on File | No |
Public Complaint | No |
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