RONALD E GOTANCO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040612

License Status

EXPIRED

Business

First Name

RONALD

Middle

Last Name

GOTANCO

Business Name

RONALD E GOTANCO

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006