MICHAEL JEROME CASTRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JEROME

Last Name

CASTRO

Suffix

Business Name

MICHAEL JEROME CASTRO MD

Original Issue Date

03/25/2011

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021