CARLOS MIGUEL AVILA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

MIGUEL

Last Name

AVILA

Business Name

CARLOS MIGUEL AVILA MD

Original Issue Date

07/27/2016

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2025