CARLOS G BALDOCEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054338

License Status

NOT RENEWED

Business

First Name

CARLOS G

Last Name

BALDOCEDA

Suffix

Business Name

CARLOS G BALDOCEDA MD

Original Issue Date

03/14/1977

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2017000476

Action

Suspension

Discipline Start Date

03/26/2017

Discipline End Date

08/17/2020

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/19/2020.