CONCHITA G GAVINO MD SC - Medical Corporation License in Illinois | # 042005671

CONCHITA G GAVINO MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005671

License Status

NOT RENEWED

Business

Y

Business Name

CONCHITA G GAVINO MD SC

Original Issue Date

09/04/1984

Effective Date

12/04/2018

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023