CRISOSTOMO J CARLOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051504

License Status

NOT RENEWED

Business

First Name

CRISOSTOMO J

Last Name

CARLOS

Suffix

Business Name

CRISOSTOMO J CARLOS MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006