GUILLERMO MARIANO ESTRADA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042211

License Status

EXPIRED

Business

First Name

GUILLERMO

Middle

MARIANO

Last Name

ESTRADA

Suffix

Business Name

GUILLERMO MARIANO ESTRADA MD

Original Issue Date

02/12/2001

Effective Date

02/12/2001

Expiration Date

02/11/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006