HEIDI CASTILLO CALIPJO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052442

License Status

CANCELLED

Business

First Name

HEIDI

Middle

CASTILLO

Last Name

CALIPJO

Suffix

Business Name

HEIDI CASTILLO CALIPJO MD

Original Issue Date

06/11/2007

Effective Date

06/11/2007

Expiration Date

06/10/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/24/2010