JUAN C SALAZAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096312

License Status

NOT RENEWED

Business

First Name

JUAN C

Last Name

SALAZAR

Business Name

JUAN C SALAZAR

Original Issue Date

08/05/1997

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/05/2015