CARLOS M CHOUCINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084628

License Status

NOT RENEWED

Business

First Name

CARLOS M

Last Name

CHOUCINO

Business Name

CARLOS M CHOUCINO

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006