ROBERTO CARLOS B COLLANTES MD - Medical Doctor License in Illinois | # 036122866

ROBERTO CARLOS B COLLANTES MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122866

License Status

NOT RENEWED

Business

N

First Name

ROBERTO CARLOS

Middle

B

Last Name

COLLANTES

Suffix

MD

Business Name

ROBERTO CARLOS B COLLANTES MD

Original Issue Date

03/17/2009

Effective Date

05/23/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014