REYNALDO MARTINEZ GOTANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

REYNALDO

Middle

MARTINEZ

Last Name

GOTANCO

Suffix

Business Name

REYNALDO MARTINEZ GOTANCO MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

04/05/2020