FERNANDO CARBALLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036198

License Status

NOT RENEWED

Business

First Name

FERNANDO

Last Name

CARBALLO

Suffix

Business Name

FERNANDO CARBALLO MD

Original Issue Date

11/19/1959

Effective Date

11/19/1959

Expiration Date

07/31/1999

City

PEMBROKE PINES

State

Zip

33027

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006