DANE H SALAZAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

DANE

Middle

Last Name

SALAZAR

Suffix

Business Name

DANE H SALAZAR MD

Original Issue Date

04/25/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023