CARLOS CASTILLO TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060977

License Status

INACTIVE

Business

First Name

CARLOS CASTILLO

Last Name

TAN

Suffix

Business Name

CARLOS CASTILLO TAN MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1990

City

BROOKFIELD

State

Zip

53045

Ever Disciplined

LastModifiedDate

08/02/2008