JANUARIO LEE NATANAUAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

JANUARIO

Middle

LEE

Last Name

NATANAUAN

Suffix

Business Name

JANUARIO LEE NATANAUAN MD

Original Issue Date

10/02/2009

Effective Date

10/02/2009

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011