PRISCILLA MEDEIROS CARVALHO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064707

License Status

CANCELLED

Business

Title

First Name

PRISCILLA

Middle

MEDEIROS

Last Name

CARVALHO

Business Name

PRISCILLA MEDEIROS CARVALHO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/05/2014