PANCHO DEGAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055665

License Status

NOT RENEWED

Business

First Name

PANCHO

Last Name

DEGAND

Suffix

Business Name

PANCHO DEGAND MD

Original Issue Date

09/19/1977

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017