JOSE LUIS DELACONCHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063814

License Status

NOT RENEWED

Business

First Name

JOSE LUIS

Last Name

DELACONCHA

Suffix

Business Name

JOSE LUIS DELACONCHA MD

Original Issue Date

01/27/1982

Effective Date

01/27/1982

Expiration Date

07/31/1996

City

OAKBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006