VIVIAN CASTILLO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100977

License Status

INACTIVE

Business

First Name

VIVIAN

Last Name

CASTILLO

Suffix

Business Name

VIVIAN CASTILLO MD

Original Issue Date

08/10/1999

Effective Date

08/10/1999

Expiration Date

07/31/2002

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006