CARLOS E EZPELETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084623

License Status

NOT RENEWED

Business

First Name

CARLOS E

Last Name

EZPELETA

Suffix

Business Name

CARLOS E EZPELETA MD

Original Issue Date

06/25/1992

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

06/10/2013