JUAN ENRIQUE WANTIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

ENRIQUE

Last Name

WANTIG

Business Name

JUAN ENRIQUE WANTIG MD

Original Issue Date

07/28/2015

Effective Date

07/28/2015

Expiration Date

07/31/2017

City

GAINESVILLE

State

Zip

32605

County

FLORIDA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017