VINCENT ANTHONY KUCICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057132

License Status

ACTIVE

Business

First Name

VINCENT

Middle

ANTHONY

Last Name

KUCICH

Suffix

Business Name

VINCENT ANTHONY KUCICH MD

Original Issue Date

07/24/1978

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/07/2023