TOMAS CARRASQUILLO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047646

License Status

NOT RENEWED

Business

First Name

TOMAS

Last Name

CARRASQUILLO JR

Suffix

Business Name

TOMAS CARRASQUILLO JR MD

Original Issue Date

08/17/1973

Effective Date

08/17/1973

City

HINESVILLE

State

Zip

31313

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006