JUVENAL LIPANA CASTILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116406

License Status

NOT RENEWED

Business

First Name

JUVENAL

Middle

LIPANA

Last Name

CASTILLO

Suffix

Business Name

JUVENAL LIPANA CASTILLO MD

Original Issue Date

07/07/2006

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021