MICHAEL CARRASQUILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071902

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Last Name

CARRASQUILLA

Business Name

MICHAEL CARRASQUILLA MD

Original Issue Date

06/27/2018

Effective Date

06/27/2018

Expiration Date

06/26/2019

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/02/2019