JOSELO A VICUNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052043

License Status

NOT RENEWED

Business

First Name

JOSELO A

Last Name

VICUNA

Suffix

Business Name

JOSELO A VICUNA MD

Original Issue Date

10/17/1975

Effective Date

10/17/1975

Expiration Date

05/01/1976

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006