PEREZ PABLO XAVIER BARZALLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077152

License Status

ACTIVE

Business

Title

First Name

PEREZ PABLO

Middle

XAVIER

Last Name

BARZALLO

Business Name

PEREZ PABLO XAVIER BARZALLO MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

05/12/2023