MARTIN CARRILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037871

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

CARRILLO

Suffix

Business Name

MARTIN CARRILLO MD

Original Issue Date

09/12/1962

Effective Date

09/12/1962

Expiration Date

07/31/1996

City

BURLINGTON

State

Zip

52601

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006