PEDRO PABLO CARBALLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012754

License Status

EXPIRED

Business

First Name

PEDRO PABLO

Last Name

CARBALLO

Suffix

Business Name

PEDRO PABLO CARBALLO MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006