ANGEL M CARRASCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ANGEL M

Last Name

CARRASCO

Suffix

Business Name

ANGEL M CARRASCO MD

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006