CORALIA GISSEL CASTILLO MORENO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077958

License Status

EXPIRED

Business

Title

First Name

CORALIA

Middle

GISSEL

Last Name

CASTILLO MORENO

Business Name

CORALIA GISSEL CASTILLO MORENO MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024