LUIS RAFAEL SALDANA GAUTIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

RAFAEL

Last Name

SALDANA GAUTIER

Business Name

LUIS RAFAEL SALDANA GAUTIER MD

Original Issue Date

12/10/2012

Effective Date

12/10/2012

Expiration Date

07/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020