VICENTE R MACIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063420

License Status

NOT RENEWED

Business

First Name

VICENTE R

Last Name

MACIAS

Suffix

Business Name

VICENTE R MACIAS MD

Original Issue Date

10/19/1981

Effective Date

10/19/1981

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006