RAUL U SALTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

RAUL U

Last Name

SALTA

Suffix

Business Name

RAUL U SALTA MD

Original Issue Date

04/14/1982

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017