PRIMO D EXCONDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045205

License Status

NOT RENEWED

Business

First Name

PRIMO D

Last Name

EXCONDE

Suffix

Business Name

PRIMO D EXCONDE MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/20/2006