BALTAZARA G LOTUACO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099369

License Status

NOT RENEWED

Business

First Name

BALTAZARA

Middle

Last Name

LOTUACO

Suffix

Business Name

BALTAZARA G LOTUACO MD

Original Issue Date

12/10/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

KANSAS CITY

State

Zip

64151

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008