CLODUALDO S BARTOLOME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

CLODUALDO S

Last Name

BARTOLOME

Suffix

Business Name

CLODUALDO S BARTOLOME MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HENRY

State

Zip

61537

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006