ENRIQUE CASTELLANOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053150

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Last Name

CASTELLANOS

Suffix

Business Name

ENRIQUE CASTELLANOS MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/20/2006