JUAN ALFREDO CARRILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

ALFREDO

Last Name

CARRILLO

Business Name

JUAN ALFREDO CARRILLO MD

Original Issue Date

01/01/1997

Effective Date

12/22/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017