LUCILLE M GOTANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116838

License Status

NOT RENEWED

Business

First Name

LUCILLE

Middle

Last Name

GOTANCO

Suffix

Business Name

LUCILLE M GOTANCO MD

Original Issue Date

08/30/2006

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014