CARLOS MIGUEL AVILA MD Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000146

License Status

NOT RENEWED

Business

Title

First Name

CARLOS

Middle

MIGUEL

Last Name

AVILA

Business Name

CARLOS MIGUEL AVILA MD

Original Issue Date

03/16/2007

Effective Date

02/07/2014

Expiration Date

04/30/2016

City

METAMORA

State

Zip

61548

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/10/2016