VIRGINIA B CABALLERO DAUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

VIRGINIA B

Last Name

CABALLERO DAUZ

Suffix

Business Name

VIRGINIA B CABALLERO DAUZ MD

Original Issue Date

01/01/1997

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017