RAUL J PUERTOLLANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

RAUL

Middle

Last Name

PUERTOLLANO

Suffix

Business Name

RAUL J PUERTOLLANO MD

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

07/31/1996

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006