CONCHITA B G GAVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056444

License Status

NOT RENEWED

Business

First Name

CONCHITA B G

Last Name

GAVINO

Suffix

Business Name

CONCHITA B G GAVINO MD

Original Issue Date

02/23/1978

Effective Date

09/23/2020

Expiration Date

07/31/2023

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

11/30/2023