MA CLARAVEL BARICUATRO CRISTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

MA CLARAVEL

Middle

BARICUATRO

Last Name

CRISTE

Suffix

Business Name

MA CLARAVEL BARICUATRO CRISTE MD

Original Issue Date

08/07/2008

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

CHRISTOPHER

State

Zip

62822

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023