VIRGILIO MACHUCA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040286

License Status

NOT RENEWED

Business

First Name

VIRGILIO

Last Name

MACHUCA

Suffix

Business Name

VIRGILIO MACHUCA MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006