THOMAS FERNANDO CARABALLO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

FERNANDO

Last Name

CARABALLO

Business Name

THOMAS FERNANDO CARABALLO DO

Original Issue Date

06/04/2024

Effective Date

06/04/2024

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

06/04/2024