CARLOS OCAMPO BULAON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

CARLOS OCAMPO

Last Name

BULAON

Suffix

Business Name

CARLOS OCAMPO BULAON MD

Original Issue Date

12/26/1986

Effective Date

12/26/1986

Expiration Date

07/31/1996

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006