CARMELITO MIRALL CARONONGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060412

License Status

NOT RENEWED

Business

First Name

CARMELITO MIRALL

Last Name

CARONONGAN

Suffix

Business Name

CARMELITO MIRALL CARONONGAN MD

Original Issue Date

06/26/1980

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017