CARLITO V ORIG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052541

License Status

INACTIVE

Business

First Name

CARLITO V

Last Name

ORIG

Suffix

Business Name

CARLITO V ORIG MD

Original Issue Date

03/26/1976

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2011