JAIME ILLEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036428

License Status

INACTIVE

Business

First Name

JAIME

Last Name

ILLEL

Suffix

Business Name

JAIME ILLEL MD

Original Issue Date

03/04/1960

Effective Date

03/04/1960

Expiration Date

07/31/1993

City

TREASURE ISLAND

State

Zip

33706

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006