CARLOS M CASTELLANOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

CANCELLED

Business

First Name

CARLOS M

Last Name

CASTELLANOS

Suffix

Business Name

CARLOS M CASTELLANOS MD

Original Issue Date

07/11/1984

Effective Date

07/11/1984

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006