CARLOS A URDININEA KIRKWOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058668

License Status

CANCELLED

Business

Title

First Name

CARLOS

Middle

Last Name

URDININEA KIRKWOOD

Business Name

CARLOS A URDININEA KIRKWOOD MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2010