JOSE ALBERTO B SALAZAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

JOSE ALBERTO B

Last Name

SALAZAR

Business Name

JOSE ALBERTO B SALAZAR

Original Issue Date

09/15/2005

Effective Date

09/15/2005

Expiration Date

07/31/2008

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020