PAULETTE VIRIDIANA PADILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075071

License Status

EXPIRED

Business

Title

First Name

PAULETTE

Middle

VIRIDIANA

Last Name

PADILLA

Business Name

PAULETTE VIRIDIANA PADILLA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022