GADIEL ASTOL BERRIO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051145

License Status

EXPIRED

Business

First Name

GADIEL

Middle

ASTOL

Last Name

BERRIO

Suffix

Business Name

GADIEL ASTOL BERRIO MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/17/2010