STEPHANIE ANDREA CASTILLO MD - Medical Doctor License in Illinois | # 125074949

STEPHANIE ANDREA CASTILLO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074949

License Status

EXPIRED

Business

N

Title

MD

First Name

STEPHANIE

Middle

ANDREA

Last Name

CASTILLO

Business Name

STEPHANIE ANDREA CASTILLO MD

Original Issue Date

06/19/2019

Effective Date

06/19/2019

Expiration Date

06/18/2020

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

11/19/2020