SASA-GRAE MUYCO ESPINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140470

License Status

NOT RENEWED

Business

Title

First Name

SASA-GRAE

Middle

MUYCO

Last Name

ESPINO

Business Name

SASA-GRAE MUYCO ESPINO MD

Original Issue Date

04/22/2016

Effective Date

04/22/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017