SOSTENES G CODILLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045476

License Status

INACTIVE

Business

First Name

SOSTENES G

Last Name

CODILLA

Suffix

Business Name

SOSTENES G CODILLA MD

Original Issue Date

03/27/1972

Effective Date

03/27/1972

Expiration Date

07/31/1999

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006