ANTONIO M CARBONELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047223

License Status

NOT RENEWED

Business

First Name

ANTONIO M

Last Name

CARBONELL

Suffix

Business Name

ANTONIO M CARBONELL MD

Original Issue Date

03/09/1973

Effective Date

03/09/1973

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/13/2010