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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