CARLOS CARRASQUILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044995

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

CARRASQUILLA

Suffix

Business Name

CARLOS CARRASQUILLA MD

Original Issue Date

11/24/1971

Effective Date

11/24/1971

City

ALLEN PARK

State

Zip

48101

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006