ISIDRO SERVALLOS TOLOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

ISIDRO SERVALLOS

Last Name

TOLOD

Suffix

Business Name

ISIDRO SERVALLOS TOLOD MD

Original Issue Date

03/20/1982

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014