JOSE LUIS SALAZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045350

License Status

NOT RENEWED

Business

First Name

JOSE LUIS

Last Name

SALAZAR

Suffix

Business Name

JOSE LUIS SALAZAR MD

Original Issue Date

02/04/1972

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/29/2018