RAFAEL LAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

LAO

Suffix

Business Name

RAFAEL LAO MD

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

07/31/1999

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020