ROBERTO CARLOS B COLLANTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122866

License Status

NOT RENEWED

Business

First Name

ROBERTO CARLOS

Middle

Last Name

COLLANTES

Suffix

Business Name

ROBERTO CARLOS B COLLANTES MD

Original Issue Date

03/17/2009

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

11/17/2014