TOMAS CARRASQUILLO JR MD - Medical Doctor License in Georgia | # 036047646

TOMAS CARRASQUILLO JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047646

License Status

NOT RENEWED

Business

N

First Name

TOMAS

Last Name

CARRASQUILLO JR

Suffix

MD

Business Name

TOMAS CARRASQUILLO JR MD

Original Issue Date

08/17/1973

Effective Date

08/17/1973

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2006