CONCHITA G GAVINO MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005671

License Status

NOT RENEWED

Business

Business Name

CONCHITA G GAVINO MD SC

Original Issue Date

09/04/1984

Effective Date

12/04/2018

Expiration Date

01/01/2022

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2023