MARIO ALBERTO GALDAMES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MARIO

Middle

ALBERTO

Last Name

GALDAMES

Suffix

Business Name

MARIO ALBERTO GALDAMES MD

Original Issue Date

05/29/2007

Effective Date

05/29/2007

Expiration Date

07/31/2008

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008