CARMEN SOCORRO MANSILLA-ORIHUELA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105354

License Status

NOT RENEWED

Business

First Name

CARMEN SOCORRO

Last Name

MANSILLA-ORIHUELA

Business Name

CARMEN SOCORRO MANSILLA-ORIHUELA

Original Issue Date

08/03/2001

Effective Date

08/03/2001

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/14/2011