EDWARD ALEXIS CABALLERO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148315

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

ALEXIS

Last Name

CABALLERO

Business Name

EDWARD ALEXIS CABALLERO MD

Original Issue Date

02/09/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/06/2023