CARLOS CHUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056001

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

CHUA

Suffix

Business Name

CARLOS CHUA MD

Original Issue Date

11/10/1977

Effective Date

11/10/1977

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006