IMELDA SANTOS CARLOS MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****27

ACTIVE

N

IMELDA SANTOS

CARLOS

MD

IMELDA SANTOS CARLOS MD

01/01/1997

07/10/2023

07/31/2026

WINFIELD

IL

60190

DUPAGE

II III IV V

N

07/10/2023