SARAH ELIZABETH CARBALLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070238

License Status

EXPIRED

Business

Title

First Name

SARAH

Middle

ELIZABETH

Last Name

CARBALLO

Business Name

SARAH ELIZABETH CARBALLO MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/11/2022