CARLOS A GAMBIRAZIO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

CARLOS A

Last Name

GAMBIRAZIO

Business Name

CARLOS A GAMBIRAZIO

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006