CARLOS S SUBAUSTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071944

License Status

NOT RENEWED

Business

First Name

CARLOS S

Last Name

SUBAUSTE

Suffix

Business Name

CARLOS S SUBAUSTE MD

Original Issue Date

10/29/1985

Effective Date

10/29/1985

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006