SANTA J BARTHOLOMEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

SANTA

Middle

Last Name

BARTHOLOMEW

Business Name

SANTA J BARTHOLOMEW MD

Original Issue Date

07/31/2015

Effective Date

07/31/2015

Expiration Date

07/31/2017

City

WASHINGTON

State

Zip

27889

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/02/2020