JOSE ALBERTO B SALAZAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

JOSE ALBERTO B

Last Name

SALAZAR

Business Name

JOSE ALBERTO B SALAZAR

Original Issue Date

07/11/1995

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023