EVILLO MANUEL DOMINGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134677

License Status

ACTIVE

Business

Title

First Name

EVILLO

Middle

MANUEL

Last Name

DOMINGO

Business Name

EVILLO MANUEL DOMINGO MD

Original Issue Date

02/25/2014

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

WILLARD

State

Zip

44890

County

OHIO

Ever Disciplined

LastModifiedDate

06/08/2023