CARLOS HUMBERTO ESCAMILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040901

License Status

NOT RENEWED

Business

Title

First Name

CARLOS

Middle

HUMBERTO

Last Name

ESCAMILLA

Business Name

CARLOS HUMBERTO ESCAMILLA MD

Original Issue Date

02/16/1967

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011