JOY ARABELLE CASTILLO FONTANILLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

JOY ARABELLE

Middle

CASTILLO

Last Name

FONTANILLA

Suffix

Business Name

JOY ARABELLE CASTILLO FONTANILLA MD

Original Issue Date

03/23/1998

Effective Date

03/23/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006