RAFAELANI TARUC UY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

CANCELLED

Business

Title

First Name

RAFAELANI

Middle

TARUC

Last Name

Business Name

RAFAELANI TARUC UY MD

Original Issue Date

09/18/2013

Effective Date

09/18/2013

Expiration Date

07/31/2014

City

KELSO

State

Zip

98626

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014