JORGE CARBALLIDO MD - Medical Doctor License in Illinois | # 036042247

JORGE CARBALLIDO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042247

License Status

INACTIVE

Business

N

First Name

JORGE

Last Name

CARBALLIDO

Suffix

MD

Business Name

JORGE CARBALLIDO MD

Original Issue Date

10/23/1968

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

06/10/2008