RENE S VICENTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045404

License Status

NOT RENEWED

Business

First Name

RENE S

Last Name

VICENTE

Suffix

Business Name

RENE S VICENTE MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2008