The holder whose full name is CARBALLO, CARMEN LAMAS,come from DOWNERS GROVE IL,hold the Physician license(NO.01019569A) which status is Expired Non-Renewable.
| Name | CARBALLO, CARMEN LAMAS |
|---|---|
| License Number | 01019569A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DOWNERS GROVE |
| State | IL |