EDILTRODITO QUIANZON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048607

License Status

NOT RENEWED

Business

First Name

EDILTRODITO

Last Name

QUIANZON

Suffix

Business Name

EDILTRODITO QUIANZON MD

Original Issue Date

01/23/1974

Effective Date

01/23/1974

Expiration Date

07/31/2005

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/09/2006