OCTAVIO CIEZA MD - Medical Doctor License in Illinois | # 036099263

OCTAVIO CIEZA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099263

License Status

NOT RENEWED

Business

N

First Name

OCTAVIO

Last Name

CIEZA

Suffix

MD

Business Name

OCTAVIO CIEZA MD

Original Issue Date

10/30/1998

Effective Date

10/30/1998

Expiration Date

07/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006