ESTELITA M QUIMOSING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

ESTELITA M

Last Name

QUIMOSING

Suffix

Business Name

ESTELITA M QUIMOSING MD

Original Issue Date

01/19/1990

Effective Date

01/19/1990

Expiration Date

07/31/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006