IDA LOUISE SANTANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136345

License Status

NOT RENEWED

Business

Title

First Name

IDA

Middle

LOUISE

Last Name

SANTANA

Business Name

IDA LOUISE SANTANA MD

Original Issue Date

08/27/2014

Effective Date

08/27/2014

Expiration Date

07/31/2017

City

IOWA CITY

State

Zip

52245

Ever Disciplined

LastModifiedDate

11/01/2017