NIEVES TAN-LACHICA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056462

License Status

NOT RENEWED

Business

First Name

NIEVES

Last Name

TAN-LACHICA

Suffix

Business Name

NIEVES TAN-LACHICA MD

Original Issue Date

02/23/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008