LISA M BARCENILLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071839

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

BARCENILLA

Suffix

Business Name

LISA M BARCENILLA MD

Original Issue Date

10/10/1985

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

08/01/2023