EDDIE C INOCENCIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083981

License Status

NOT RENEWED

Business

First Name

EDDIE C

Last Name

INOCENCIO

Suffix

Business Name

EDDIE C INOCENCIO MD

Original Issue Date

02/13/1992

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021