DANE H SALAZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

DANE

Middle

Last Name

SALAZAR

Suffix

Business Name

DANE H SALAZAR MD

Original Issue Date

03/23/2016

Effective Date

03/23/2016

Expiration Date

07/31/2017

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020