TAMI CATHERINE CARRILLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047978

License Status

EXPIRED

Business

Title

First Name

TAMI

Middle

CATHERINE

Last Name

CARRILLO

Business Name

TAMI CATHERINE CARRILLO MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/15/2009