BASILIO I PADILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

BASILIO

Middle

Last Name

PADILLA

Suffix

Business Name

BASILIO I PADILLA MD

Original Issue Date

05/13/1982

Effective Date

05/13/1982

Expiration Date

07/31/2008

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011