CARLOS E VITERI YAQUIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069223

License Status

EXPIRED

Business

Title

First Name

CARLOS

Middle

Last Name

VITERI YAQUIAN

Business Name

CARLOS E VITERI YAQUIAN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pulmonary Disease

Ever Disciplined

LastModifiedDate

10/25/2018