BASILIO I PADILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064117

License Status

NOT RENEWED

Business

First Name

BASILIO

Middle

Last Name

PADILLA

Suffix

Business Name

BASILIO I PADILLA MD

Original Issue Date

03/30/1982

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

OGLESBY

State

Zip

66134

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/14/2011