CRYSTAL VANESSA CASTANEDA MD - Medical Doctor License in Illinois | # 125065621

CRYSTAL VANESSA CASTANEDA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065621

License Status

CANCELLED

Business

N

Title

MD

First Name

CRYSTAL

Middle

VANESSA

Last Name

CASTANEDA

Business Name

CRYSTAL VANESSA CASTANEDA MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

05/19/2014