RAUL U SALTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048835

License Status

NOT RENEWED

Business

First Name

RAUL U

Last Name

SALTA

Suffix

Business Name

RAUL U SALTA MD

Original Issue Date

02/05/1974

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017