MARTIN CARRILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

CARRILLO

Suffix

Business Name

MARTIN CARRILLO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

BURLINGTON

State

Zip

52601

County

IOWA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006