CARLOS CASTILLO TAN MD - Medical Doctor License in Wisconsin | # 036060977

CARLOS CASTILLO TAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060977

License Status

INACTIVE

Business

N

First Name

CARLOS CASTILLO

Last Name

TAN

Suffix

MD

Business Name

CARLOS CASTILLO TAN MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

08/02/2008