RENATO RALOTA KATUBIG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

CANCELLED

Business

Title

First Name

RENATO

Middle

RALOTA

Last Name

KATUBIG

Business Name

RENATO RALOTA KATUBIG MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/17/2008