ERNESTO B EUSEBIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051127

License Status

NOT RENEWED

Business

First Name

ERNESTO B

Last Name

EUSEBIO

Suffix

Business Name

ERNESTO B EUSEBIO MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006