SERGIO GUILLERMO CASILLAS BERUMEN 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

SERGIO

Middle

GUILLERMO

Last Name

CASILLAS BERUMEN

Business Name

SERGIO GUILLERMO CASILLAS BERUMEN MD

Original Issue Date

06/20/2017

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023