STEPHANIE ANDREA CASTILLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074949

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

ANDREA

Last Name

CASTILLO

Business Name

STEPHANIE ANDREA CASTILLO MD

Original Issue Date

06/19/2019

Effective Date

06/19/2019

Expiration Date

06/18/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020