IGNACIO CABEZUDO VIDAL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087397

License Status

INACTIVE

Business

First Name

IGNACIO

Last Name

CABEZUDO VIDAL

Business Name

IGNACIO CABEZUDO VIDAL

Original Issue Date

09/14/1993

Effective Date

09/14/1993

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

1996012889

Action

Reprimand

Discipline Start Date

03/23/1998

Discipline Reason

Submitted bills for treatments to a patient that were not provided.