TOMAS CARRASQUILLO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

TOMAS

Last Name

CARRASQUILLO JR

Suffix

Business Name

TOMAS CARRASQUILLO JR MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HINESVILLE

State

Zip

31313

County

GEORGIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006