MARIANITO SUGUIT LACHICA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054395

License Status

INACTIVE

Business

First Name

MARIANITO SUGUIT

Last Name

LACHICA

Suffix

Business Name

MARIANITO SUGUIT LACHICA MD

Original Issue Date

03/30/1977

Effective Date

03/30/1977

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006