CARLOS A GAMBIRAZIO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029248

License Status

EXPIRED

Business

First Name

CARLOS A

Last Name

GAMBIRAZIO

Business Name

CARLOS A GAMBIRAZIO

Original Issue Date

04/14/1993

Effective Date

04/14/1993

Expiration Date

06/25/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006