SANTA J BARTHOLOMEW 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

Title

First Name

SANTA

Middle

Last Name

BARTHOLOMEW

Business Name

SANTA J BARTHOLOMEW MD

Original Issue Date

07/13/2007

Effective Date

07/13/2007

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/11/2017