RONALD E GOTANCO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

Last Name

GOTANCO

Business Name

RONALD E GOTANCO

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020