JUVENAL LIPANA CASTILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JUVENAL

Middle

LIPANA

Last Name

CASTILLO

Suffix

Business Name

JUVENAL LIPANA CASTILLO MD

Original Issue Date

07/18/2006

Effective Date

05/21/2013

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020