ALEXEI DECASTRO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ALEXEI

Last Name

DECASTRO

Business Name

ALEXEI DECASTRO

Original Issue Date

07/29/2009

Effective Date

07/29/2009

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011