CARLOS IGNACIO ILLINGWORTH GARCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

IGNACIO

Last Name

ILLINGWORTH GARCIA

Business Name

CARLOS IGNACIO ILLINGWORTH GARCIA MD

Original Issue Date

05/26/2021

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

LOS ANGELES

State

Zip

90012

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023